本文研究内窥镜中鼻道鼻窦开窗术(EMA)的窗口远期通畅率和临床症状与窗口封闭与否的关系。本组145例手术有14例失访未列入统计。手术适应症:慢性上颌窦炎101例;伴鼻息肉75例;变态反应性鼻炎40例;哮喘三联征8例和鼻窦炎、息肉、吸入性变态反应30例。术前均详询病史,作包括内窥镜的专科检查和鼻窦CT,有变态反应者作放射免疫学试验,阳性先脱敏治疗。手术用改良的Messerklinger(1978)术式。局麻或全麻,为便于暴露可先中鼻甲或鼻中隔切除术。在钩突前中1/3处纵形切开抵下鼻甲上缘,沿下鼻甲上缘向后切开粘骨膜,瓣向内折并和上颌窦内壁骨一并去 This article investigates the relationship between long-term window patency and clinical symptoms of endoscopic sinus surgery (EMA) and window closure. 145 cases of this group of 14 cases were lost to surgery was not included in the statistics. Surgery indications: 101 cases of chronic maxillary sinusitis; 75 cases of nasal polyps; 40 cases of allergic rhinitis; 8 cases of triple asthma and sinusitis, polyps, inhalational allergy in 30 cases. Preoperative detailed history, including endoscopy for specialist examination and sinus CT, allergic were radioimmunoassay, positive first desensitization treatment. Surgery with a modified Messerklinger (1978) procedure. Local anesthesia or general anesthesia, in order to facilitate exposure to the first middle turbinate or nasal septum resection. In the first 3/3 of the uncinate process, incline to the superior edge of the inferior turbinate, incise the mucoperiosteum along the superior edge of the inferior turbinate, fold inwards and merge with the medial wall of the maxillary sinus