蝶窦手术有经鼻中隔、经鼻腔及经筛窦等进路，但多数有过大的创伤性，常导致长期住院或严重并发症。该作者创用了一种适于鼻内窥镜医生施行的创伤较少而安全有效的经鼻腔上鼻道抵达蝶窦的进路，介绍如下。术前须作异窦CT、MRI、全面的鼻内窥镜检查，常规化验及必要的会诊。病人 Sphenoid sinus surgery through the nasal septum, the nasal cavity and the ethmoid sinus approach, but most have too much traumatic, often leading to long-term hospitalization or serious complications. The author has created a safe and effective route for nasal endoscopic nasal passages to the sphenoid sinus that is suitable for endoscopic sinus surgery and is described below. Preoperative sinusography, MRI, a comprehensive nasal endoscopy, routine testing and the necessary consultation. patient