目的　观察内镜鼻窦手术同时处理鼻腔相关病变的临床疗效及影响因素。方法　 4 4 2例鼻窦手术病例 ,病程 1～ 2 2年 ,挑选符合对比条件 178例 ,分为三组进行比较。术后随诊 12～ 38个月。结果　应对鼻中隔或下鼻甲进行处理 178例 ,作者仅对其中 10 8例实施了手术 ,根据比较结果 ,对鼻中隔和下鼻甲进行适当的处理 ,手术的疗效较理想 ,满意率高达 94 % ;对比鼻中隔或下鼻甲需进行处理而未作处理的满意率仅5 9 %。结论　在内镜鼻窦手术时对鼻腔相关病变进行同时处理 ,可提高手术疗效 Objective To observe the clinical efficacy and influencing factors of endoscopic sinus surgery in simultaneous treatment of nasal lesions. Methods Forty-two cases of sinus surgery, the course of 1-22 years, 178 cases were selected to meet the conditions, divided into three groups for comparison. Follow-up postoperative 12 to 38 months. Results 178 cases of nasal septum or inferior turbinate should be treated. The authors only performed surgery on 108 cases. According to the results, the appropriate treatment of nasal septum and inferior turbinate resulted in a satisfactory curative effect of 94%; the rate of nasal septum Or inferior turbinate need to be treated without satisfaction rate of only 59%. Conclusions Simultaneous treatment of nasal-related lesions during endoscopic sinus surgery may improve surgical outcomes