方法：回顾性收集2013-01/2015-12就诊于我院眼科的婴幼儿泪囊炎患者218例356眼，治疗方式不同分为泪囊区按摩组，泪道加压冲洗组，单纯泪道探通组，泪道探通联合激素冲洗组。观察不同分组患儿的治愈率。

结果：随着患儿年龄的增加，总的治愈率呈明显下降趋势； 泪道探通组的疗效显著性高于泪道加压组及泪囊按摩组，泪道加压冲洗组的疗效显著性高于泪囊按摩组； 联合激素冲洗组疗效显著优于不联合激素冲洗组。上泪小点探通术治愈率显著优于下泪小点探通术。随着患儿年龄的增加，泪囊按摩组、泪道加压冲洗组和泪道探通组的治愈率不断降低(r=0.553、0.437、0.742，P<0.05)。

结论：对于月龄较小，1岁以下的患儿首选泪囊区按摩法，而对于1岁～2岁的患儿泪囊按摩无效者推荐泪道探通，上泪小点探通疗效更优，而对于2岁以上患儿多推荐泪道探通联合激素冲洗治疗。

METHODS: A retrospective study included 218 cases(356 eyes)of infant dacryocystitis were collected and were divided into lacrimal sac massage group, lacrimal passage pressure washing group, lacrimal duct probing group, lacrimal probing combined hormones wash group. The cure rate of different groups was observed.

RESULTS: As the age grows, the total cure rate showed a downward trend; lacrimal passage pressure washing group showed significant higher cure rate than that of lacrimal sac massage group. Lacrimal duct probing group showed significant higher cure rate than that of lacrimal sac massage group and lacrimal passage pressure washing group. Lacrimal probing combined hormones wash group showed significant higher cure rate than that of lacrimal probing without hormones wash group. The cure rate of upper lacrimal point probing group was significantly better than that of the lower lacrimal point. Meanwhile, as the age grows, the cure rate of the lacrimal sac massage, lacrimal passage pressure washing group and lacrimal probing group decreased(respectively r=0.553, 0.437, 0.742, P<0.05). The best therapeutic effect of infants and young children who under the age of 1 is the lacrimal sac massage. For patients under 2 years old, lacrimal probing showed a better cure rate, especially upper lacrimal point probing. For patients over 2 years of age, lacrimal probing combined hormone therapy showed a better cure rate.

CONCLUSION: For smaller months, patients under 1-year-old, we prefer the lacrimal sac massage, and for patients over 1 year and under 2 years old, lacrimal probing is firstly recommended, upper lacrimal point probing would be better. For patients more than 4 years old should recommend lacrimal probing combined hormones wash treatment.