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目的：通过对４８例慢性上颌窦炎患者的功能性鼻窥镜手术（ＦＥＳＳ）的疗效分析，探讨ＦＥＳＳ下慢性上颌窦炎的最佳治疗方法。方法：不常规行钩突、筛泡切除术，而是注意去除造成上颌窦口引流障碍的解剖因素＋联合造孔术。结果：治愈率为１００％。结论：不常规行钩突、筛泡切除术，注意去除造成上颌窦口引流障碍的解剖因素，结合联合造孔术治疗慢性上颌窦炎，疗效是满意的。
Objective: To explore the best treatment of chronic maxillary sinusitis under FESS by analyzing the curative effect of functional endoscopic sinus surgery (FESS) in 48 patients with chronic maxillary sinusitis. Methods: Unconventional line hook, bubble cholecystectomy, but to pay attention to the removal of maxillary sinus ostium drainage caused by anatomical factors combined with the hole. Results: The cure rate was 100%. CONCLUSION: Unconventional uncinatectomy and cholecystitis were performed. Attention should be paid to the removal of the anatomical factors that lead to the maxillary sinus drainage disorder and to the treatment of chronic maxillary sinusitis with co-operative mastectomy.