Objective：To investigate the correlative factors and pathological types of fungal rhinosinusitis（FRS）. Methods：Clinical data of 163 patients with FRS enrolled between June 2005 and March 2010 in our hospital were retrospectively analyzed. Correlative factors and clinical features of FRS were investigated by using the multiple factor Logistic regression analysis. Pathological types of 163 cases of FRS were classified by using Gomori methenamine silvers taining，which was special for fungi. Results：Main risk factors for FRS were：over 50-year-old，female，hemato nasal discharge，headache，calcified plaque in CT scan，diabetes respectively. Among163 cases of FRS，61 cases were chronic invasive and 102 cases were non-invasive. Positive rate of fungal culture in patients with FRS was 93.86% and in normal controls was 22.38%，with statistical differences between them（P<0.05）. Conclusions：FRS has lots of cor－relative factors. We should take different treatment schemes for different patients based on their pathological types and correlative fac－tors of FRS in order to improve the therapeutic effects for FRS.