目的探讨高位鼻中隔偏曲在鼻内镜下手术治疗的方法。方法对22例诊断为高位鼻中隔偏曲的患者,按照偏曲特点选择不同的方式完成手术治疗。结果手术无并发症发生,术后随访1~3年,22例中症状消失13例,缓解8例,无效1例。结论根据高位鼻中隔偏曲部位的不同特点,在角度鼻内镜下采取不同的手术治疗方案,能降低手术并发症,提高治愈率。 Objective To investigate the surgical treatment of high nasal septum deviation under endoscopic sinus surgery. Methods 22 patients diagnosed as high nasal septum deviation in accordance with the characteristics of deflection selected different ways to complete the surgical treatment. Results There was no complications during the operation. The patients were followed up for 1 to 3 years. There were 13 cases disappeared in 22 cases, 8 cases were relieved and 1 case was ineffective. Conclusion According to the different characteristics of the high nasal septum deviation, different surgical treatment under endoscopic sinus surgery can reduce the surgical complications and improve the cure rate.