鼻石临床少见，多为单侧发病，双侧鼻石井鼻中隔穿孔甚为少见，我院近期收治1例，报告如下。患者女，55岁，因反复鼻塞，流脓涕20余年，伴鼻臭10年于1997年12月29日入院。体检：一般情况可，前鼻镜下见双侧鼻腔大量脓性分泌物，双侧总鼻道后下方可见褐色、巨大、固定不易活动， Rhinolithiasis is rare, mostly unilateral disease, bilateral nasal and nasal septum perforation is very rare, our hospital recently admitted in 1 case, the report is as follows. Female, 55 years old, due to repeated nasal congestion, purulent tears more than 20 years, with nose odor 10 years in December 29, 1997 admission. Physical examination: The general situation can be, see a large number of nasal purulent secretions of the frontal nasal, the bilateral total nasal pathways can be seen below the brown, huge, fixed not easy to move,