目的 :探讨提高鼻内窥镜下筛窦手术的疗效措施。方法 :回顾性分析 5 8例 ( 86侧 )鼻内窥镜下筛窦手术的临床资料。结果 :治愈 46例 ( 79 3% ) ,好转 12例 ( 2 0 7% ) ,无效 0 ,出现并发症 19例 ( 32 0 % ) ,其中复视 3例 ,息肉复发 7例 ,出血较多 4例 ,术腔粘连 5例。结论 :术前详细全面检查 ,选择合适术式 ,术中仔细操作 ,才能确保手术的成功 ,术后定期复查 ,保持术腔清洁。 Objective: To explore the measures to improve the ethmoidal sinus surgery under nasal endoscopy. Methods: The clinical data of 58 cases (86 sides) of endoscopic sinus surgery under nasal endoscope were retrospectively analyzed. Results: 46 cases were cured (79.3%), 12 cases were improved (27.0%), 0 was ineffective, and 19 cases (32.0%) were complicated by complications, including 3 cases of diplopia and 7 cases of polyp recurrence. Cases, intraoperative adhesions in 5 cases. Conclusion: A detailed preoperative comprehensive examination, select the appropriate surgical procedures, careful operation in order to ensure the success of surgery, regular review after surgery to maintain the surgical cavity clean.