{"id":38258,"date":"2018-03-09T09:37:45","date_gmt":"2018-03-09T09:37:45","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-morfologico-y-funcional-anorrectal-en-el-recien-nacido\/"},"modified":"2018-03-09T09:37:45","modified_gmt":"2018-03-09T09:37:45","slug":"estudio-morfologico-y-funcional-anorrectal-en-el-recien-nacido","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-morfologico-y-funcional-anorrectal-en-el-recien-nacido\/","title":{"rendered":"Estudio morfologico y funcional anorrectal en el recien nacido."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Rodolfo Cabrera Garcia <\/strong><\/h2>\n<p>Con el objeto de definir el calibre y situaci\u00f3n normales del ano en el reci\u00e9n nacido (rn) de ambos sexos y diversos pesos, \u00fatil para el diagn\u00f3stico de la estenosis anal cong\u00e9nita y del ano anterior, dise\u00f1ar y construir una sonda \u00fatil para manometr\u00eda anorrectal (mar) en el rn y conocer la utilidad y fiabilidad de la mar en rn pret\u00e9rmino y a t\u00e9rmino para el diagn\u00f3stico de la enfermedad de hirschsprung (eh), realizamos estudio morfol\u00f3gico anorrectal en 5 grupos de rn, compuesto cada uno de ellos por 20 ni\u00f1os, 10 hombres y 10 mujeres, distribu\u00eddos por peso. En todos ellos se calibra el ano y se calcula el \u00edndice anogenital (iag). Se realiza, adem\u00e1s, estudio funcional anorrectal sobre 42 rn, divididos en 3 grupos, el a compuesto por 18 rn pret\u00e9rmino. 7 hombres y 11 mujeres, &lt;2.500 g. De peso y &lt;37 semanas de gestaci\u00f3n; el b compuesto por 15 rn a t\u00e9rmino, 6 hombres y 9 mujeres, 2.500 g. De peso y el c compuesto por 9 rn, con cl\u00ednica de obstrucci\u00f3n intestinal y sospecha de eh. El estudio funcional consisti\u00f3 en la realizaci\u00f3n de mar, utilizando una sonda elaborada en nuestra unidad de diagn\u00f3stico.  se concluye que el calibre anal es directamente proporcional al peso del rn, no observ\u00e1ndose diferencias significativas entre hombres y mujeres. Nuestros resultados demuestran que el ano en el hombre est\u00e1 situado en el punto medio entre la base del escroto y el coxis (iag=0.50) y en la mujer se sit\u00faa algo m\u00e1s anterior (iag=0.41). L. La sonda de mar utilizada ha demostrado ser eficaz y en nuestra experiencia ha supuesto un gran avance para el diagn\u00f3stico precoz de la eh. La longitud del canal anal se correlaciona con el peso en el rn, de forma directa y significativa. El reflejo inhibidor del ano (ria) es independiente de la edad gestacional, dias de vida o peso. La ausencia del ria en el rn se debe considerar patol\u00f3gica, siendo sus causas m\u00e1s frecuentes la eh y la obstrucci\u00f3n funcional transitoria del colon<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio morfologico y funcional anorrectal en el recien nacido.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio morfologico y funcional anorrectal en el recien nacido. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Rodolfo Cabrera Garcia <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Extremadura<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 15\/06\/1998<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Emilio Blesa S\u00e1nchez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: guillermo S\u00e1nchez salgado <\/li>\n<li>Luis Lassaletta garbayo (vocal)<\/li>\n<li>Juan  Jos\u00e9 Cardesa Garc\u00eda (vocal)<\/li>\n<li>Juan  Antonio Tovar larrucea (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rodolfo Cabrera Garcia Con el objeto de definir el calibre y situaci\u00f3n normales del ano en el 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