目的:探讨鼻内窥镜用于腺样体切除术的临床效果。方法:在鼻内窥镜下经口、经鼻视频监视下用电动切割器行腺样体切除术31例,术后随访6～24个月,了解治疗效果。结果:所有患儿临床症状消失或减轻,鼻咽部黏膜光滑,无腺样体残留,无复发,无并发症出现。结论:该手术方法操作简单,视野清楚,损伤轻,出血少,并发症少,治愈率高。 Objective: To explore the clinical effect of endoscopic sinus surgery for adenoidctomy. Methods: Thirty-one cases underwent endoscopic adenoidectomy under nasal endoscope with oral and nasal video surveillance. The patients were followed up for 6-24 months to understand the therapeutic effect. Results: All children with clinical symptoms disappeared or reduced nasopharyngeal mucosa smooth, no adenoid residue, no recurrence, no complications. Conclusion: The operation method is simple, clear vision, less damage, less bleeding, fewer complications and high cure rate.