鼻窦炎中以多发性鼻窦炎为最难治,而这种鼻窦炎发病率又最高,约占鼻窦炎总数的75％。大多数学者治疗增生型鼻窦炎时偏重于手术处理筛窦和其它鼻-窦。此类手术多具损伤性,常破坏鼻腔正常结构,切除中鼻甲。但即使是根治手术效果也不一定满意,息肉的复发率仍很高。作者采用的综合疗法包括下列措施:①鼻窦引流:上颌窦用氏穿刺针、筛窦用及氏法穿刺引流;额窦和蝶窦多用探通法;②窦腔药物滴注:每分钟20滴,持续1～1.5小时。每个鼻窭每次滴注经药敏试验有效的抗生素2.5万单位、强的松龙15mg、5％麻黄素1ml、生理盐水30ml;③鼻腔滴药:含抗生素50万单位、5％ Sinusitis to multiple sinusitis is the most difficult to rule, and the highest incidence of sinusitis, accounting for about 75% of the total number of sinusitis. Most scholars prefer to treat ethmoid sinus and other nasal-sinus surgery in the treatment of proliferative rhinosinusitis. Such surgery with more damage, often destroy the normal nasal structure, removal of the middle turbinate. However, even if the effect of radical surgery is not necessarily satisfactory, the recurrence rate of polyps is still high. The combined therapy used by the authors included the following measures: (1) sinus drainage: the maxillary sinus puncture needle, ethmoid sinus and the method of puncture drainage; frontal sinus and sphenoid sinus probing; (2) sinus cavity drug infusion: 20 drops per minute For 1 to 1.5 hours. Each epistaxis each time by drug sensitive test effective antibiotics 25000 units, prednisolone 15mg, 5% ephedrine 1ml, saline 30ml; nasal drip: antibiotics 500000 units, 5%