目的探讨鼻内窥镜下治疗蝶窦良性病变的疗效和手术体会。方法采用鼻内窥镜手术对31例蝶窦患者进行鼻腔-蝶窦手术,对不同病变情况采用不同的处理方法。结果随访3个月～4年。29例痊愈,2例出现窦口闭锁,行再次手术开放,无1例出现严重并发症。结论局麻鼻内窥镜下蝶窦手术具有视野清楚,损伤小,出血少,痛苦小等优点,是一种安全、有价值的手术方式。 Objective To investigate the efficacy and surgical experience of nasal endoscopic treatment of benign sphenoid lesions. Methods Nasal-sphenoid sinus surgery was performed in 31 sphenoid sinus patients by nasal endoscopic surgery, and different treatment methods were used for different pathological changes. The results were followed up for 3 months to 4 years. 29 cases recovered, 2 cases of sinus ostium occlusion, open surgery again, no one case of serious complications. Conclusion The endoscopic sinus surgery under local anesthesia has the advantages of clear vision, less injury, less bleeding and less pain. It is a safe and valuable surgical procedure.