柯-陆术式(C-L术)曾是治疗慢性化脓-增生性上颌窦炎和囊肿的典型术式,过去已有很多研究证实C-L术中全部去除窦粘膜后,其再生修复的粘膜上皮纤毛数、浆液腺明显减少,杯状细胞数增多,纤维组织增多或形成瘢痕、窦腔闭塞;术后仍积脓,故目前内镜鼻窦手术(ESS)几乎取代了C-L术。该作者根据手术前后病理组织学参数、下鼻道造孔情况、粘纤清除功能和 Ke - Lu operation (CL) was once the treatment of chronic suppurative-maxillary sinusitis and cysts of the typical surgical procedures, there have been many studies in the past to confirm CL CL removal of the sinus mucosa, the regenerative repair of mucosal epithelial cilia , Serous glands significantly reduced, goblet cells increased, increased fibrous tissue or the formation of scar, sinus occlusion; postoperative empyema, so the current endoscopic sinus surgery (ESS) almost replaced the CL surgery. The author according to the histopathological parameters before and after surgery, the inferior nasal orifice, sticky fiber clearance and