目的　探讨鼻内镜在鼻腔鼻窦疾病以及垂体瘤手术中的应用 ,评价其效果。 2方法　鼻内镜下对2 88例病人进行手术 ,2 5 4例鼻腔鼻窦息肉采用 Messerklinger术式 ,2 0例鼻窦囊肿行鼻窦开放 ,8例鼻腔鼻窦内翻性乳头状瘤切除肿瘤 ,4例垂体瘤经鼻腔蝶窦切除肿瘤 ,2例鼻中隔偏曲明视下矫正中隔。 3结果　鼻息肉治愈率为 76 .38% ,有效率为 2 3.6 2 % ;鼻窦囊肿治愈率为 10 0 % ;8例鼻腔鼻窦内翻性乳头状瘤、4例垂体瘤及 2例鼻中隔偏曲全部治愈。 4结论　鼻内镜应用为鼻手术提供了一明视有效的方法 Objective To explore the application of endoscopic sinus surgery in nasal sinus disease and pituitary tumor and evaluate the effect. 2 Methods 288 patients underwent endoscopic sinus surgery. Twenty-five cases of nasal sinus polyps were treated with Messerklinger procedure. 20 cases of sinus cyst were opened, 8 cases of nasal inverted papilloma were resected, 4 cases Pituitary tumor by nasal sphenoid resection of the tumor, 2 cases of nasal septum devascularization under the correction of septum. 3 Results The cure rate of nasal polyps was 76.38%, the effective rate was 23.6%; the cure rate of sinus cysts was 10%; 8 cases of nasal inverted papilloma, 4 cases of pituitary tumor and 2 cases of nasal septum deviation All cured. 4 Conclusion Endoscopic application of nasal surgery provides a clear and effective method