中国实用口腔科杂志

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二膦酸盐相关颌骨骨坏死临床治疗研究进展

郭玉兴郭传瑸   

  1. 北京大学口腔医学院·口腔医院口腔颌面外科,北京  100081
  • 出版日期:2016-03-15 发布日期:2016-04-13
  • 基金资助:

    北京大学口腔医院青年科研基金项目(PKUSS20140103)

  • Online:2016-03-15 Published:2016-04-13

摘要:

二膦酸盐类药物是临床上治疗骨转移癌最为常用的药物。近年来发现,患者长期应用该类药物可产生二膦酸盐相关颌骨骨坏死(bisphosphonate-related osteonecrosis of the jaw, BRONJ)这一较为严重的并发症。患者一旦出现BRONJ的临床症状(如口腔瘘管、红肿、开口受限及骨折等),生活质量严重下降,常就诊于口腔科。因此,口腔科医生对于这种疾病治疗方法的了解非常重要。现将近年来针对这种疾病的常用治疗方法做一综述,以期对口腔临床工作起到帮助作用。

关键词: 二膦酸盐, 颌骨骨坏死, 治疗

Abstract:

Bisphosphonates are the most commonly used drugs to treat bone metastases. In recent years, many authors found that long-term use of bisphosphonate drugs can lead to bisphosphonate-related osteonecrosis of the jaws (BRONJ). The life quality of patients with the BRONJ symptoms (oral fistula, swelling, limited opening and fractures)will be seriously affected. These patients often seek help in dentistry,therefore the treatment knowledge of this disease is very important. This article reviews the recent literature about treatment for this disease,hoping to help oral clinical work.

Key words:  , bisphosphonate;osteonecrosis of the jaws;treatment