■这项回顾性研究的目的是确定临床,放射学,2017年至2022年期间,在塔古门市急诊临床县医院口腔和上颌骨外科诊所诊断为颌骨坏死(ONJ)并接受治疗的患者的组织学特征。该研究旨在分析患者特征之间的相关性,特别是他们在癌症治疗期间使用骨调节剂或局部放疗的历史,为了确定可以帮助评估治疗反应并指导个性化治疗策略的特定患者概况。
■52例诊断为ONJ的患者被纳入研究。根据病史将患者分为两组:骨改良剂使用组和放疗组。临床,放射学,收集和分析组织学数据。统计分析,包括p值,进行比较两组患者的特征。
■放疗组患者的年龄明显大于骨改良剂组(66岁vs.56.9年,p=0.001)。与骨改良剂使用组相比,放疗组的男性比例更高(90%vs.22%,p<0.001)。与骨调节剂使用组相比,放疗组的颌骨受累更为普遍(95%vs.66%,p=0.018)。组织学分析显示,两组放线菌的频率相似(50%vs.34%,p=0.264)。
■这项研究的结果表明,根据他们的治疗史,存在两种不同的患者特征(骨改性剂的使用与放射疗法)在ONJ中。放疗组患者年龄较大,主要是男性,并表现出较高的颌骨受累患病率。组织学分析显示,两组之间的放线菌种类频率没有显着差异。这些不同的患者资料可能表明对治疗的不同反应,强调需要针对特定患者特征量身定制的个性化治疗策略。需要进一步的研究来验证这些发现,并开发管理ONJ的个性化方法。
UNASSIGNED: The aim of this retrospective study was to identify the clinical, radiological, and histological characteristics of patients diagnosed with osteonecrosis of the jaw (ONJ) and treated at the Oral and Maxillo-Facial Surgery Clinic of the Emergency Clinical County Hospital of Targu Mures between 2017 and 2022. The study aimed to analyze correlations between patient characteristics, particularly their history of bone modifying agent use or local radiotherapy during cancer treatment, in order to identify specific patient profiles that could aid in evaluating treatment response and guide individualized treatment strategies.
UNASSIGNED: Fifty-two patients diagnosed with ONJ were included in the study. The patients were divided into two groups based on their medical history: the bone modifying agent use group and the radiotherapy group. Clinical, radiological, and histological data were collected and analyzed. Statistical analysis, including p-values, was performed to compare patient characteristics between the two groups.
UNASSIGNED: Patients in the radiotherapy group were significantly older than those in the bone modifying agent use group (66 years vs. 56.9 years, p=0.001). There was a higher proportion of males in the radiotherapy group compared to the bone modifying agent use group (90% vs. 22%, p<0.001). Jaw involvement was more prevalent in the radiotherapy group compared to the bone modifying agent use group (95% vs. 66%, p=0.018). Histological analysis showed a similar frequency of Actinomyces species in both groups (50% vs. 34%, p=0.264).
UNASSIGNED: The findings of this study suggest the existence of two distinct patient profiles based on their treatment history (bone modifying agent use vs. radiotherapy) in ONJ. Patients in the radiotherapy group were older, predominantly male, and exhibited a higher prevalence of jaw involvement. Histological analysis revealed no significant differences in Actinomyces species frequency between the two groups. These distinct patient profiles may indicate different responses to treatment, emphasizing the need for individualized treatment strategies tailored to specific patient characteristics. Further research is warranted to validate these findings and develop personalized approaches for managing ONJ.