方法：对41例41眼慢性泪囊炎合并泪道狭窄的患者，在施行外路泪囊鼻腔手术中同时行泪道探通，留置新型泪道引流管3～6mo，在取管后3mo随访，观察术眼流泪、溢脓及泪道通畅情况。

结果：术后3～6mo取管，冲洗泪道通畅率100%； 取管后3mo复查，38例(93%，38/41)冲洗泪道通畅。冲洗不通3例(7%，3/41)。除8例(20%)下泪小点有轻微撕裂伤外，无其他并发症。

结论：泪囊鼻腔吻合术联合泪道置管治疗慢性泪囊炎合并泪道狭窄，效果明显，所需手术设备简单、直视下操作、手术难度小，是一种适合基层医院使用的较好方法。

METHODS: For 41 patients with chronic dacryocystitis and lacrimal duct stenosis, DCR has been given. And during DCR operation, lacrimal duct was probed and a new type drainage tube was planted for 3 to 6 months. Three months later after removal of drainage tube, flow of tears, pus excretion and lacrimal duct clearance were observed.

RESULTS: Upon removal of drainage tube, clear lacrimal duct ratio was 100%. Three months after tube removal, rechecking reports 38 cases with clear lacrimal duct(93%, 38/41)and 3 cases with block duct(7%, 3/41). Except for 8 cases with minor lacerations, no other complications were observed.

CONCLUSION: DCR associated with lacrimal duct drainage tube placement is an effective treatment for chronic dacryocystitis and lacrimal duct stenosis. Surgical equipment required a simple, small difficulty operation, operation under direct vision, which makes it a very applicable good method at primary hospital.