目的总结鼻内镜下鼻腔泪囊造口术治疗泪囊炎的经验,为手术方法的改进和疗效的提高提供依据。方法鼻内镜下鼻腔泪囊造口术治疗慢性泪囊炎22例,急性泪囊炎2例。术前行泪囊碘油造影,随访6～24个月。结果慢性泪囊炎22例,治愈20例,治愈率90.9%;急性泪囊炎2例,全部治愈,治愈率100%。结论鼻内镜下准确的泪囊定位、适当大小的骨窗、减少黏膜损伤、保护创面、定期随访是手术成功的关键。 Objective To summarize the experience of endoscopic dacryocystorhinostomy for dacryocystitis and to provide evidence for the improvement of surgical methods and efficacy. Methods Endoscopic nasal dacryocystorhinostomy in 22 cases of chronic dacryocystitis, 2 cases of acute dacryocystitis. Preoperative lacrimal sac lipiodol imaging, follow-up 6 to 24 months. The results of 22 cases of chronic dacryocystitis, 20 cases were cured, the cure rate was 90.9%; 2 cases of acute dacryocystitis, all cured, the cure rate was 100%. Conclusions Accurate dacryocystorhinoskeletal localization, appropriate size of bone window, reduction of mucosal injury, wound protection and regular follow-up are the key to the success of operation.