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目的：为了进一步讨论经鼻内窥镜鼻窦手术的效果，总结了经鼻内窥镜鼻窦手术３１８例患者的临床资料。方法：手术使用直径４ｍｍ，０ｏ、３０ｏ和７０ｏ硬管鼻内窥镜，采用Ｍｅｓｅｒｋｌｉｎｇｅｒ术式。结果：一期治愈２０７例（６５．１％），延期治愈４７例（１４．８％），迁延期治愈４６例（１４．５％），无变化１８例（５．７％）。并发症共１５例（４．７％）。结论：经鼻内窥镜鼻窦手术的操作技术的熟练程度固然重要，术前应用类固醇激素对提高血小板、减少术中出血十分必要，确定适当的手术范围有利提高疗效，加强术后处理和药物雾化吸入有助于巩固和提高手术效果。
Objective: To further discuss the effect of endoscopic sinus surgery, the clinical data of 318 patients undergoing endoscopic sinus surgery were summarized. Methods: Surgical use of diameter 4mm, 0o, 30o and 70o rigid nasal endoscopy, the use of Meserklinger operation. Results: The first stage was cured in 207 cases (65.1%), delayed cure in 47 cases (14.8%), delayed cure in 46 cases (14.5%) and no change in 18 cases (5.7%). Complications in 15 cases (4.7%). Conclusion: The skill of operation technique of nasal endoscopic sinus surgery is important. Preoperative application of steroid hormones is very necessary to increase platelets and reduce intraoperative bleeding. It is beneficial to determine the appropriate surgical range to improve the curative effect and to strengthen postoperative treatment and drug fog Inhalation helps to consolidate and improve the surgical results.