目的 :研究用泪囊鼻腔造口植皮术重建泪道 ,以治疗慢性泪囊炎。方法 :经鼻前孔切开鼻丘部黏膜及骨质 ,暴露泪囊 ,于鼻内窥镜下造口 ,并于造口周围处植入替耳氏皮瓣 ,以促进创面愈合 ,防止肉芽形成 ,保证泪道通畅。结果 :用泪囊鼻腔造口植皮术治疗慢性泪囊炎 71例、76眼 ,经随访观察半年 ,治愈率达97%。结论 :泪囊鼻腔造口植皮术手术创伤小 ,不需面部切口 ,并发症少 ,优于传统的鼻腔泪囊吻合术 Objective: To study the use of dacryocystorhinostomy to reconstruct lacrimal duct to treat chronic dacryocystitis. METHODS: The mucosa and bone of the nasal mucosa were dissected through the anterior nasal hole, the lacrimal sac was exposed, the stoma was placed under the nasal endoscope and a Tertis flap was implanted around the stoma to promote wound healing and prevent granulation Formation, to ensure lacrimal patency. Results: Dacryocystorhinostomy was used to treat 71 cases of chronic dacryocystitis (76 eyes). The follow-up period was six months and the cure rate was 97%. Conclusion: Dacryocystorhinostomy dermoid surgery less trauma, no facial incision, fewer complications, superior to the traditional nasal dacryocystorhinostomy