目的：探讨慢性泪囊炎经鼻内入路的方法和疗效及与传统方式的比较。方法回顾我科4年来内镜下经鼻内入路行鼻腔泪囊吻合术治疗的21例（21只眼）慢性泪囊炎的手术方法及愈合情况。结果术后10个月~2年的随访，治愈20例，占95.2%，好转1例，占4.8%，有效率100%。结论内镜下经鼻内入路行鼻腔泪囊吻合术治疗慢性泪囊炎，损伤组织小，时间短，复发率低、治愈率高、不影响美容的特点。“,”Objective To explore the chronic dacryocystitis by themethod and curative ef ect of intranasal approach and traditionalmethods of comparison. Methods in our department in recent 4 years in 21 cases by endoscopic intranasal approach withdacryocystorhinostomy treatment (21 eyes) of chronic dacryocystitis operation method and healing. Results after 10 months to 2 years fol ow-up, 20 cases were cured, 1 cases improved, accounted for 95.2%, accounted for 4.8%, ef iciency 100%. Conclusions endoscopic endonasal approach fordacryocystorhinostomy for chronic dacryocystitis, injury smal ,short time, low recurrence rate, high cure rate, without af ectingthe characteristics of beauty.