泪囊鼻腔造孔术有鼻外法和鼻内法。本文介绍“简易泪囊鼻腔造孔术”。我们自1977年3月至1978年5月用本方法作手术23例26只眼,观察无一例失败。现介绍如下: 适应症:慢性泪囊炎,挤压泪囊有较多分泌物外溢,鼻腔无急性炎症,没有影响吻合口引流的中甲肥大、鼻中隔弯曲;泪小点在位,下泪小管通畅者。手术步骤:按常规术前准备及麻醉方法同泪囊摘除术,较泪囊摘除术切口稍下方作皮肤切口、切开皮肤分离皮下组织,暴露内眦韧带,安放泪囊开张器。找到泪前嵴,在内眦韧带附着点外3毫米下缘,在泪前嵴外向下分离肌层,找到泪筋膜,将泪筋膜和泪囊 Dacryocystorhinostomy with nasal method and intranasal method. This article describes the “simple dacryocystorhinostomy.” We from March 1977 to May 1978 with this method for surgery in 23 cases 26 eyes, no one failed to observe. Are introduced as follows: indications: chronic dacryocystitis, squeeze lacrimal sac overflow more secretions, no acute nasal inflammation, does not affect the anastomotic drainage in hypertrophy, nasal septum bending; tear dot in place, the lacrimal duct Unobstructed. Surgical procedures: According to conventional preoperative preparation and anesthesia with the same method of removal of the lacrimal sac, compared with lacrimal sac incision slightly below the incision for skin incision, incision skin subcutaneous tissue, exposure to the posterior arch ligament lacrimal sac placement. Find the tear before the ridge, within the fossa ligament attached to the outer edge of 3 mm, in the tear before the ridge separation of the muscle outside, to find tear fascia, the tear fascia and lacrimal sac