方法：泪道阻塞性疾病患者79例96眼，27眼(22眼泪小管、泪总管阻塞，5眼泪小管合并鼻泪管阻塞)行激光联合泪道引流管植入术； 69眼(27眼鼻泪管阻塞，42眼慢性泪囊炎)行激光联合鼻泪管支架植入术。术后给予激素、抗生素眼药水点眼1wk，泪道引流管术后3～6mo顺利拔管，鼻泪管支架，4wk拔管，所有患者随访12mo。

结果：泪道引流管，鼻泪管支架取出后随访12mo，泪溢消失者79眼，泪溢好转者10眼，无效者7眼，泪溢但无脓，总有效率为93%，显效率82%。

结论：根据泪道阻塞部位选择泪道激光联合不同硅胶管植入是治疗泪道阻塞性疾病简便有效的方法，值得在基层医院推广。

METHODS:Of 79 patients(96 eyes)with lacrimal duct obstruction diseases, 27 eyes(22 eyes with canaliculi lacrimalis or lacrimal duct shutting and 5 eyes with ductus nasolacrimalis)underwent laser combined lacrimal drainage tube implantation, 69 eyes(27 eyes with ductus nasolacrimalis and 42 eyes with chronic dacryocystitis)received laser combined with nasolacrimal duct stenting. Eye drops included dexamethasone and antibiotic medicine were given in a week after operation. The patients implanted lacrimal drainage tube removed the tube at 3-6 month after operation, the other removed nasolacrimal stenting at 4 weeks after operation, all of patients were followed-up 12 months.

RESULTS:Seventy-nine eyes were cured in all of the 96 eyes, 10 eyes were better, 7 eyes were ineffective. All 96 eyes had not been seen pus after being rinsed. Total efficiency was 93% and significant efficiency was 82%.

CONCLUSION: Laser combined with different silicone tube implantation according to the different site was a simple and effective way inthe treatment of lacrimal duct obstruction.