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过去数十年,下颌骨放射性骨坏死(ORN)的治疗方法主要包括对症支持治疗、超声治疗、激素治疗、高压氧治疗和手术切除修复重建等,最近出现的药物治疗,能够逆转骨纤维化的过程。ORN无法自然消退,目前尚无标准的治疗方法。高压氧治疗(HBOT)的临床疗效文献报道不一。三药联合(维生素E、己酮可可碱、膦酸二钠)治疗ORN尚需临床试验进一步证实,长期使用产生的药物副作用也有待观察。ORN初期保留下颌骨的理想治疗方法仍然存在争议。该文通过回顾相关文献,讨论了下颌骨ORN发生、发展的病理生理过程,并对其保守治疗进行了展望。
Over the past decades, the treatment of mandibular radiological osteonecrosis (ORN) mainly includes symptomatic supportive therapy, ultrasound therapy, hormonal therapy, hyperbaric oxygen therapy and surgical resection and reconstruction. The recent drug therapy that can reverse bone fibrosis process. ORN can not subside naturally, there is no standard treatment. Hyperbaric oxygen therapy (HBOT) clinical efficacy of different reports. Triadimetic (vitamin E, pentoxifylline, disodium phosphonate) treatment of ORN still need clinical trials further confirmed that long-term use of drugs side effects have yet to be seen. ORN initial retention of the mandibular ideal treatment is still controversial. This article reviews the relevant literature to discuss the pathophysiological process of the occurrence and development of ORN in the mandible, and prospects for its conservative treatment.