对45例74侧鼻息肉合并鼻窦炎病例，在鼻窦内窥镜下进行了下述手术：①窦口鼻道复合体手术，②全筛窦和蝶窦手术，③辅以鼻外径路上颌窦手术。其中17例（37．8％）为传统手术后复发病例。经6个月以上随访，治愈56侧（75．7％），好转13侧（17．6％），总有效率为93．3％。无严重手术并发症。本文对手术的方式、并发症、复发病例再手术问题等方面进行了探讨。 45 cases of 74 cases of nasal polyps with sinusitis cases, the endoscopic sinus surgery were the following operations: ① sinus ostiomerization complex surgery, ② full ethmoid sinus and sphenoid sinus surgery, ③ supplemented by the nasal diameter of the maxillary sinus surgery. Among them, 17 cases (37.8%) were the recurrence cases after traditional surgery. After more than 6 months of follow-up, 56 sides (75.7%) were cured, 13 (17.6%) were improved, and the total effective rate was 93.3%. No serious surgical complications. This article discusses the ways of surgery, complications, recurrence and surgical problems.