翼管神经切断术治疗血管运动性鼻炎效果良好,有人报告成功率为92%。手术径路包括:经鼻窦、经腭及经鼻腔等。作者采用经鼻腔内窥镜下进行翼管神经切断术12例,其中男5例,女7例;刺激分泌性鼻病8例,复发性鼻息肉4例。效果满意。手术方法:全麻。有鼻息肉者先行息肉摘除,以后的手术操作在内窥镜下进行。行鼻内筛房切除术后寻找蝶腭孔,该孔与矢状面成15°～20°角,位于中鼻甲后端附着处的后上方、后鼻孔上缘靠外侧。用镰状刀在蝶腭孔的后唇作切口,用分离器向前分离粘骨膜直至蝶腭孔, Vascular nerve resection of vasomotor rhinitis good effect, it was reported success rate was 92%. Surgical path include: the sinuses, the palate and nasal cavity and so on. The authors adopted 12 cases of nasal endoscopic nerve patellar nerve transection, including 5 males and 7 females; stimulated secretory rhinopathy in 8 cases, 4 cases of recurrent nasal polyps. Satisfactory results. Surgical methods: General anesthesia. Nasal polyps were removed polyp first surgery after surgery under the endoscope. After the intranasal screening procedure, look for the sphenopalatine foramen, which is at an angle of 15 ° ~ 20 ° to the sagittal plane, posterior to the posterior end of the middle turbinate. With a sickle knife in the sphenopalatine hole of the posterior lip for incision, separation of the mucoid with the separator forward until the sphenopalatine fossa,