为了探讨鼻内镜手术治疗老年慢性鼻一鼻窦炎鼻息肉（chronic rhinosinusitis withnasal polypsis，CRSwNP）患者的疗效及安全性，笔者回顾性分析了88例老年CRSwNP患者的临床资料。现报告如下。
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结论在一定时间间隔和安全用量范围内，使用低浓度地卡因反复表面麻醉是安全有效的，是慢性鼻窦炎、鼻息肉鼻内窥镜手术的较佳选择。
Conclusions the repeated surface anaesthesia with low-concentration Dicaine is safe and effective, and it is a better choice in endoscopic surgery for chronic nasosinusitis and nasal polyp.
结论鼻内多结构手术是治疗慢性鼻窦炎、鼻息肉及解决阻塞的一种较为有效的方法。
Conclusion Mulit-structure operative treatment of chronic rhinosinusitis and nasal polyp and solving stuffy nose symptoms are a kind of comparatively effective methods.
目的分析慢性鼻窦炎鼻息肉鼻内镜术后鼻腔黏连的原因，探讨防治的方法，以进一步提高鼻内镜鼻窦手术的疗效。
Objective to analyze the causation of nasal synechia and to explore the preventive method after functional endoscopic sinus surgery.
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