作者总结66例慢性上颌窦炎病例经鼻94次内窥镜手术的效果。随访4～12个月。手术在表麻加局麻下进行。用Hophins硬管4mm直径内窥镜,以0°、30°、70°三种不同角度,用镰状刀作钩状突切开及漏斗切除术,确定上颌窦的中鼻道开口,扩大窦口到前后径为15～20mm,垂直径以8～10mm为宜。必要时处理筛窦病变。鼻腔不做填塞,术后用抗生素一周。每周随访一次,以清理窦口和窦腔分泌 The authors summarize the results of 94 endoscopic sinus surgery in 66 patients with chronic maxillary sinusitis. Follow-up 4 to 12 months. Surgical anesthesia in the table under the anesthesia. With Hophins rigid tube 4mm diameter endoscope at 0 °, 30 °, 70 ° at three different angles, with a sickle-shaped knife for hook-like incision and funnel resection, to determine the maxillary sinus in the opening of the middle of the nasal cavity to expand sinus Before and after the mouth to the diameter of 15 ~ 20mm, vertical diameter of 8 ~ 10mm is appropriate. If necessary, treat ethmoidal lesions. No stuffing nasal cavity, antibiotics after a week. Weekly follow-up, to clear the ostium and sinus secretion