摘要
双膦酸盐相关性颌骨坏死(bisphosphonate-related osteonecrosis of the jaw, BRONJ)是患者长期使用双膦酸盐药物引起的严重不良反应。其主要症状包括软组织破溃、骨面外露、坏死区流脓、局灶牙齿松动等。目前的临床治疗以局部死骨摘除等对症处理为主,由于病因学机制尚不明确,缺乏相应的对因治疗。学者们提出不同的病因学机制,包括颌骨代谢失衡、抑制血管生成、微生物感染、免疫功能紊乱、软组织毒性等。现将近年来对该病的发病机制的研究进展作一综述。
Bisphosphonate-related osteonecrosis of the jaw(BRONJ) is a serious adverse reaction caused by long-term use of bisphosphonate in patients. Its main symptoms include soft tissue rupture, bone surface exposure, necrotic area flow pus, focal tooth loosening and so on. Because of the unclear etiological mechanism and lack of corresponding etiological treatment, the current clinical treatment is mainly local dead bone removal and other symptomatic treatment. Scholars have proposed different etiological mechanisms, including imbalance of the bone turnover of the jaw, inhibition of angiogenesis, microbial infection, immune dysfunction, soft tissue toxicity and so on. The recent research progress in the pathogenesis of the disease is reviewed in this paper.
作者
罗号
刘忠龙
李晓光
孟箭
何悦
LUO Hao;LIU Zhonglong;LI Xiaoguang;MENG Jian;HE Yue(Department of Stomatology,Xuzhou Central Hospital,Xuzhou 221009,China)
出处
《口腔医学》
CAS
2021年第4期373-376,共4页
Stomatology
基金
江苏省卫生计生委科研课题(H2017080)
徐州市医学创新(技术攻关)团队(XWCX201604)
徐州市科技局重点研发项目(KC17196)。
关键词
双膦酸盐相关性颌骨坏死
破骨细胞
骨代谢
bisphosphonate-related osteonecrosis of the jaw
osteoclast
bone metabolism
