Kishimoto Hideaki
Department of Orthopedic Surgery, San-in Rosai Hospital.
Clin Calcium. 2005 Jun;15(6):1007-11.
In high turnover osteoporosis antiresorptive therapy is effective in increasing the stiffness and the toughness (bone strength) by increasing the mean degree of mineralization of bone tissue through the prolongation of secondary mineralization. But the long-term use of antiresorber would result in highly mineralized bone and disturbed repair of microcracks by inhibition of bone remodeling. Intermittent use of antiresorber could be recommended to avoid the deterioration of bone quality.
在高转换型骨质疏松症中,抗吸收疗法通过延长二次矿化来增加骨组织的矿化平均程度,从而有效提高骨的硬度和韧性(骨强度)。但长期使用抗吸收药物会导致骨过度矿化,并通过抑制骨重塑干扰微裂纹的修复。可建议间歇性使用抗吸收药物以避免骨质量恶化。