治疗泪囊瘘以往多采用泪囊摘除术,术后仍泪溢。近两年,我科收治2例泪囊瘘做改良泪囊鼻腔内瘘术,疗效满意,报告如下。例1 丁×女 46岁住院号121034左眼反复流脓半年,于1990年12月18日入院。泪囊部位皮肤有一瘘孔,周围红肿。经下泪点冲洗有脓性分泌物自瘘孔流出。术前每日用庆大霉素、α—糜旦白酶冲洗泪道,局部滴消炎眼药水,全身应用抗生素。于90年12月26日在局麻下手术,经瘘孔鼻侧切开皮肤,暴露泪囊及造骨孔,与泪囊鼻腔吻合术相同。骨孔造好后暴露鼻粘膜,做“U”形切口,将舌形瓣向上翻转, Treatment of lacrimal sac fistula in the past to use more lacrimal sac removal, still tears after surgery. In the past two years, our department treated 2 cases of lacrimal sac fistula to improve dacryocystorhinostomy, with satisfactory results, the report is as follows. Example 1 Ding × female 46-year-old hospital number 121034 left eye repeated pus six months, on December 18, 1990 admission. Dacryocyst part of the skin has a fistula, swelling around. Purging by the tears under the purulent discharge from the fistula hole. Preoperative day with gentamicin, a-minced enzyme rinse lacrimal duct, local drip anti-inflammatory eye drops, systemic antibiotics. December 26, 1990 under local anesthesia surgery, nasal fistula hole cut the skin exposed lacrimal sac and bone-making holes, and dacryocystorhinostomy the same. Bone hole exposed nasal mucosa made good, do “U” -shaped incision, the flap flipped up,