中国口腔医学继续教育杂志 ›› 2025, Vol. 28 ›› Issue (5): 297-306.DOI: 10.12337/zgkqjxjyzz.2025.05.001

• 综述 •    下一篇

特立帕肽在药物相关性颌骨坏死中治疗作用的研究进展

丁一辉1, 王丹丹2, 李晨璐2, 王继弘2, 田磊2,*, 宗春琳2,*   

  1. 1空军军医大学学员队四大队十六队;
    2口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔疾病临床医学研究中心,空军军医大学第三附属医院口腔颌面外科
  • 出版日期:2025-09-30 发布日期:2025-09-30
  • 通讯作者: * 宗春琳、田磊,联系方式:029-84776109,电子邮箱:mujiezi23@163.com,tianleison@163.com;通讯地址:陕西省西安市新城区长乐西路145号,710032
  • 基金资助:
    陕西省重点研发计划,Fe3O4磁性纳米颗粒诱导BMMSCs来源外泌体在放射性颌骨损伤治疗中的作用及机制研究(项目编号:2024SF-YBXM-264); 空军军医大学临床研究项目,自体浓缩生长因子对药物相关性颌骨坏死术后伤口作用的临床试验研究(项目编号:2022LC2239)

Effect of Teriparatide on Therapy of Medication-related Osteonecrosis of the Jaw

Yihui Ding1, Dandan Wang2, Chenlu Li2, Jihong Wang2, Lei Tian2,*, Chunlin Zong2,*   

  1. 1Sixteenth Team, Fourth Cadet Regiment, Air Force Medical University, Xi’an, Shaanxi Province, P.R. China;
    2State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases & Department of Oral and Maxillofacial Surgery, School of Stomatology, The Third Affiliated Hospital of Air Force Medical University, Xi’an, Shaanxi Province, P.R. China
  • Online:2025-09-30 Published:2025-09-30
  • Contact: Chunlin Zong, Lei Tian. Tel: 029-84776109. Emails: mujiezi23@163.com; tianleison@163.com. Address: No. 145 Changle West Road, Xincheng District, Xi’an 710032, Shaanxi Province, P.R. China.

摘要: 药物相关性颌骨坏死(medication-related osteonecrosis of the jaw,MRONJ)是应用抗骨吸收、抗血管生成等药物后出现的一种严重并发症,手术切除死骨治疗易复发,抗生素、高压氧等保守治疗效果不理想。近年来学者发现特立帕肽对MRONJ有治疗作用。本文通过文献综述,阐述MRONJ的诊断标准和分期,归纳特立帕肽对MRONJ的治疗效果、给药方式、联合应用及可能的治疗机制,为特立帕肽治疗MRONJ 的临床应用与科学研究提供依据与参考。

关键词: 药物相关性颌骨坏死, 特立帕肽, 保守治疗, 药物治疗, 骨代谢相关疾病

Abstract: Medication related osteonecrosis of the jaw (MRONJ) is a serious complication that occurs after the use of anti bone resorption, anti angiogenesis, and other drugs.In recent years, scholars have found that Teriparate has therapeutic effects on MRONJ. This article elaborates on the diagnostic criteria and staging of MRONJ through literature review, summarizes the therapeutic effects, administration methods, combination therapy, and possible treatment mechanisms of Teriparate for MRONJ, and provides a basis and reference for the clinical application and scientific research of Teriparate in the treatment of MRONJ.

Key words: medication-related osteonecrosis of the jaw, teriparatide, conservative treatment, drug therapy, bone metabolism-related diseases