目的：探讨运用硅胶泪道引流管逆行泪道插管术治疗泪道阻塞性疾病的手术效果。 方法：对68例83眼鼻泪管阻塞患者选用球头型硅胶管逆行插管术，对26例37眼泪小管或泪总管阻塞患者选用引线型硅胶管逆行插管术。 结果：术后随访6～12mo，球头型硅胶管治疗组有效率87%，引线型硅胶管治疗组有效率73%。 结论：逆行泪道插入硅胶泪道引流管治疗泪道阻塞性疾病，办法简便，效果良好，适合基层医院临床推广。

AIM:To discuss the operation effect of retrograde intubation of lacrimal passage with silicone lacrimal drainage tube for treating lacrimal duct obstruction diseases. METHODS:Ball head silicone tube was selected to treat nasolacrimal duct obstruction patients in 68 cases ( 83 eyes),and lead type silicone tube to treat lacrimal canaliculus or common canaliculus obstruction patients in 26 cases ( 37 eyes) by retrograde intubation of lacrimal duct operation. RESULTS:Patients were followed up for 6-12 months, the effective rate of treatment in the ball head silicone tube group reached 87%, and in the lead type silicone tube group reached 73%. CONCLUSION:Retrograde intubation of lacrimal passage with silicone lacrimal drainage tube for treating lacrimal duct obstruction diseases is a simple and effective method,and worthy of clinical application in basic level hospital.