目的 :探讨鼻内窥镜修正术治疗复发性鼻息肉的疗效和手术体会。方法 :回顾分析 1997年 7月～ 1998年 10月间 2 1例因鼻息肉复发在我院行鼻内窥镜修正术的患者 ,2 1例均双侧同时手术 ,根据 CT所见及术中情况 ,采用筛窦全切或次全切 ,上颌窦自然窦口扩大 ,尖牙窝径路上颌窦病变组织清除等手术方式。结果 :随访 6～12个月评定疗效 ,治愈 7例 ,好转 8例 ,无效 6例 ,总有效率 71.4% ,无一例出现严重并发症。结论 :鼻内窥镜修正术治疗复发性鼻息肉疗效较好。 May等提出的鼻腔中 6个解剖标志对彻底清除病变组织 ,提高手术疗效 ,防止严重并发症颇有裨益。 Objective: To investigate the efficacy and surgical experience of nasal endoscopy in the treatment of recurrent nasal polyps. Methods: A retrospective analysis of 21 cases of recurrent nasal polyps occurred in our hospital from July 1997 to October 1998, 21 cases of patients underwent bilateral simultaneous surgery. According to CT findings and intraoperative The situation, using ethmoidal total or subtotal resection, maxillary sinus natural sinus enlargement, canine fossa pathology maxillary sinus disease removal and other surgical methods. Results: The curative effect was evaluated after 6 to 12 months of follow-up. Seven cases were cured, eight cases were improved, six cases were ineffective, and the total effective rate was 71.4%. No serious complication occurred. Conclusion: Endoscopic sinus surgery for recurrent nasal polyps is effective. May put forward in the nasal anatomy of the six signs of the complete removal of diseased tissue to improve surgical efficacy and prevent serious complications quite beneficial.