[摘要] 目的 探讨改良经鼻内镜开放性鼻泪管手术治疗慢性泪囊炎的临床疗效。 方法 搜集鼻泪管阻塞的慢性泪囊炎住院接受改良经鼻内镜鼻腔-鼻泪管造口手术的患者临床资料并随访，共32例(32眼)纳入研究。 结果 术后随访32例(眼)手术患者6～12个月，平均(6.1±2.7)个月，治愈26例(81.25%，26/32眼)；好转4例(12.5%，4/32眼)；无效2例(6.25%，2/32眼)，总有效率为93.75%(30/32眼)，术中无并发症发生。 结论 改良经鼻内镜鼻腔-鼻泪管造口术治疗鼻泪管阻塞型慢性泪囊炎，可保留泪囊的泪液回收、虹吸作用，对改善功能性溢泪有积极的作用。

    [关键词] 慢性泪囊炎；鼻泪管阻塞；经鼻内镜鼻腔-鼻泪管造口术

    [中图分类号] R779.6 [文献标识码] A [文章编号] 2095-0616(2017)06-168-04

    [Abstract] Objective To investigate the clinical effect of modified intranasal endoscopic dacryocystorhinostomy in treatment of nasolacrimal duct obstruction. Methods a total of 32 cases (32 eyes) of nasolacrimal duct obstruction caused by chronic dacryocystitis and treated by endoscopic nasal nasolacrimal duct stoma surgery were slected as the study objects ......