CAJ | 학술논문

当前腭咽部手术仍是治疗阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的最常用术式，但其客观有效率并不高，其中重要的一项原因即此类手术无法解决部分患者的舌咽平面阻塞。为了提高外科手术治疗OSAHS的有效率，在过去的数十年中已有多种舌咽部术式被应用于临床，其中也包括舌与舌骨悬吊术，此类手术通过内置的聚丙烯缝线将舌根或舌骨牵拉并悬吊固定于下颌骨内面，以期达到降低舌体顺应性或扩大舌咽空间的效果，从而有助于降低呼吸事件发生的程度及频率。舌与舌骨悬吊术创伤性小、简单易实施且并发症发生率低，既往亦有多项研究证实了其有效性，在临床中此类手术已被广泛应用于临床，本文将就舌与舌骨悬吊术进行详细介绍，以期为其进一步的规范化开展提供有价值的参考。
당전악인부수술잉시치료조새성수면호흡잠정저통기종합정（OSAHS）적최상용술식，단기객관유효솔병불고，기중중요적일항원인즉차류수술무법해결부분환자적설인평면조새。위료제고외과수술치료OSAHS적유효솔，재과거적수십년중이유다충설인부술식피응용우림상，기중야포괄설여설골현조술，차류수술통과내치적취병희봉선장설근혹설골견랍병현조고정우하합골내면，이기체도강저설체순응성혹확대설인공간적효과，종이유조우강저호흡사건발생적정도급빈솔。설여설골현조술창상성소、간단역실시차병발증발생솔저，기왕역유다항연구증실료기유효성，재림상중차류수술이피엄범응용우림상，본문장취설여설골현조술진행상세개소，이기위기진일보적규범화개전제공유개치적삼고。
The velopharyngeal surgery is still the most widely applied procedures for obstructive sleep apnea hypopnea syndrome (OSAHS),however,the objective success rate of such surgery is less satisfied due to glossopharyngeal obstruction in some OSAHS patients. In order to improving the efficacy of surgical treatments,several glossopharyngeal procedures have been applied during the past decades,including the tongue and hyoid suspension surgery. In the tongue and hyoid suspension procedures,the tongue base or hyoid is suspended and fixed at the lingual surface of the mandible with planted polypropylene sutures,therefore,the compliance of the tongue could be decreased or the posterior airway space of the glossopharynx could be enlarged,which is vital for alleviating the severity respiratory events. The advantages of suspension surgical procedures included little trauma,simple operative procedures and less complications,the efficacy have also been proved by a number of studies. The tongue and hyoid suspension surgery has currently been widely applied in clinical practice and this article is a review of such procedures.