Saussez S, Filleul O, Loeb I
Service d'anatomie, faculté de médecine et de pharmacie, université de Mons-Hainaut, Mons, Belgique.
Rev Stomatol Chir Maxillofac. 2008 Dec;109(6):367-73. doi: 10.1016/j.stomax.2008.09.008. Epub 2008 Nov 14.
Today, bisphosphonates are very frequently used to relieve patients suffering from various bone diseases, mainly bone metastases and osteoporosis. They have been associated with numerous cases of maxillar and mandibullar osteonecrosis, a severe affection characterized by a high morbidity and for which no consensual treatment has been found yet. After a short update, the authors reviewed indications for bisphosphonates and its pharmacological properties. The pathogenesis, predisposing factors, symptoms, and clinical evaluation of this particular necrosis are described. Preventive and therapeutic managements are suggested.
如今,双膦酸盐类药物被频繁用于缓解患有各种骨病的患者的症状,主要是骨转移和骨质疏松症。它们与大量上颌骨和下颌骨坏死病例有关,这是一种发病率很高的严重病症,目前尚未找到共识性的治疗方法。在进行简短的更新后,作者回顾了双膦酸盐类药物的适应证及其药理特性。描述了这种特殊坏死的发病机制、诱发因素、症状和临床评估。并提出了预防和治疗管理建议。