本文报告50名由变态反应科转诊的患有严重而顽固难治的鼻窦-支气管炎或肺症状的患者施行双侧蝶窦筛窦切除术的结果,目的在证明手术在减少用药需要、哮喘发作、气道阻塞和局部病变复发等方面的有效性。患者男28人,平均47岁;女22人,平均41岁。全有持续性或间断性鼻塞,30人有哮喘,大多数有双侧鼻息肉。15名哮喘患者有醋柳酸敏感性。28名哮喘患者定期服用皮质类甾醇。32名施行过鼻息肉切除术。全部手术都在局麻下施行。鼻中隔影响视线时,行粘膜下切除。息肉全部予以清除。中甲切除仅留下附着在筛凹的上缘0.5cm。然后将一用串珠作距离标志的探子插入,与前下鼻棘约成30° This article reports the results of a bilateral sphenoid sinuses ethmoidectomy performed in 50 patients with severe, refractory sinusitis or pulmonary symptoms referred to the allergy department. The purpose of this study is to demonstrate the effectiveness of surgery in reducing the need for medication, asthma Seizures, airway obstruction and local disease recurrence and other aspects of the effectiveness. The patient male 28 people, average 47 years old; female 22 people, average 41 years old. All have persistent or intermittent nasal congestion, 30 have asthma, most have bilateral nasal polyps. 15 asthmatics were salicylic acid sensitive. Twenty-eight asthmatics regularly took corticosteroids. 32 underwent nasal polypectomy. All operations are performed under local anesthesia. Nasal septum affect the line of sight, submucosal resection. All polyps to be cleared. The middle of a cut left only attached to the edge of the sieve concave 0.5cm. Then insert a probe with a beaded distance sign about 30 ° to the anterior nasal spine