翼管神经切除术治疗血管运动性鼻炎有减轻症状的功效,但此神经位置较深,难于暴露,故行此术者尚较少。本文介绍经鼻腔进路术式如下。手术在手术显微镜下进行。患者术前给予50～75mg 杜冷丁和25mg 非那根,鼻腔内以4%利多卡因加1∶100,000肾上腺素表麻。患者仰卧,头略抬高,中甲注射2%利多卡因1ml,用Kil- Nerve excision for the treatment of vasomotor rhinitis has the effect of reducing symptoms, but the nerve is deep, difficult to expose, so the operation is still less. This article describes the nasal approach is as follows. Surgery under a surgical microscope. Patients were preoperatively given 50 to 75 mg of pethidine and 25 mg of non-root, 4% lidocaine plus 1: 100,000 epinephrine in the nasal cavity. Patients supine, head slightly elevated, injection of 2% lidocaine in 1ml, with Kil-