内窥镜鼻窦手术近年引起人们的兴趣,其进路分为Messerkling和Wigand两种。本文报道100例内窥镜鼻窦手术,分为两种方法:(1)对复发性鼻窦炎或息肉病人,药物治疗无效且CT片证实有鼻窦炎者采用改良的Messerkling进路。手术在全麻下进行,使用Wolf硬鼻窦内窥镜。首先切除妨碍视野的中甲外侧部分,暴露中鼻道,然后由前方自钩突内侧面掀起粘骨 Endoscopic sinus surgery has aroused people’s interest in recent years, the approach is divided into Messerkling and Wigand two. This article reports 100 cases of endoscopic sinus surgery, divided into two methods: (1) for patients with recurrent sinusitis or polyps, drug treatment is invalid and confirmed by CT film sinusitis were modified Messerkling approach. Surgery was performed under general anesthesia using a Wolf hard sinus endoscope. First remove the lateral part of the medium blocking the vision, exposing the middle nasal passages, and then from the front side of the hook from the hook off the internal bone