Li Shihong, Yu Huimin, Long Shiwei, Li Jian, He Yang, Zheng Xiaolong, Yang Shuang, Tang Yingchao, Xie Qingyun, Zheng Wei
People's Liberation Army General Hospital of Western Theater Command, Chengdu, China.
College of Medicine, Southwest Jiaotong University, Chengdu, China.
J Clin Densitom. 2023 Apr-Jun;26(2):101367. doi: 10.1016/j.jocd.2023.03.006. Epub 2023 Mar 18.
Bone marrow edema syndrome (BMES) is a relatively uncommon clinical condition. It has been poorly reported in the literature. Hence, doctors are not sufficiently aware of the disease and are prone to misdiagnosis and mistreatment, which can undoubtedly prolong the course of the disease, reduce the quality of life of patients and even affect their function. This paper reviews the literature and summarizes the treatment options for bone marrow edema syndrome, such as symptomatic treatment, extracorporeal shock waves therapy (ESWT), pulsed electromagnetic fields (PEFs), hyperbaric oxygen (HBO), vitamin D, iloprost, bisphosphonates, denosumab, and surgery, etc. This informs clinicians in treating bone marrow edema syndrome, hopefully improving patients' quality of life and shortening the duration of their disease.
骨髓水肿综合征（BMES）是一种相对罕见的临床病症。文献中对此报道较少。因此，医生对该疾病认识不足，容易误诊和误治，这无疑会延长病程，降低患者生活质量，甚至影响其功能。本文回顾了相关文献，总结了骨髓水肿综合征的治疗方法，如对症治疗、体外冲击波疗法（ESWT）、脉冲电磁场（PEF）、高压氧（HBO）、维生素D、伊洛前列素、双膦酸盐、地诺单抗以及手术等。这为临床医生治疗骨髓水肿综合征提供了参考，有望提高患者生活质量并缩短病程。
