目的 探讨经鼻腔进路行鼻腔泪囊吻合术的临床效果。方法 对60例64眼慢性泪囊炎患者在鼻腔内窥镜下行泪囊腔吻合术并观察术后效果。结果 术后泪道冲洗全部通畅,溢泪溢脓消失。随访3～24个月,一次治愈56例,占87.5％、复发8例占12.5％。大多在术后3～6个月内出现鼻腔粘膜增殖,门诊行鼻腔粘膜咬切后恢复通畅。结论 本手术在鼻内窥镜下完成,比较简便,省时,不留瘢痕。 Objective To investigate the clinical effect of nasal dacryocystorhinostomy via nasal approach. Methods Sixty-six patients with chronic dacryocystitis underwent endoscopic dacryocystorhinostomy under endoscope and the postoperative effects were observed. Results All lacrimal duct irrigation was unobstructed, overflowing tears overflow pus disappeared. Follow-up 3 to 24 months, 56 cases were cured, accounting for 87.5%, 8 cases of recurrence accounted for 12.5%. Nasal mucosal proliferation mostly occurred within 3 to 6 months after operation, and the patients in the clinic recovered nasal mucosa bite and cut back smoothly. Conclusion This procedure is completed under nasal endoscopy, which is simple, time-saving and does not leave scars.