方法：回顾分析湘西州人民医院眼科诊断为婴幼儿泪囊炎的患儿180例252眼。平均首诊年龄为5.8月龄。联合采用泪囊区按摩、抗生素眼液、泪道冲洗及泪道探通法。随访2～12mo，以溢泪症状完全消失并泪道冲洗通畅作为治愈目标。

结果：在180例252眼患儿中，共治愈224眼，治愈率88.89%，其中未经探通而治愈者54眼(21.43%)，探通治愈者170眼(67.46%)； 1次探通即治愈者132眼(52.38%)。此外剖腹产患儿共126例(70%)。

结论：婴幼儿泪囊炎多见于剖腹产患儿，早期有效的泪道探通联合泪囊区按摩及抗生素滴眼液是治疗婴幼儿泪囊炎的有效手段。

METHODS: The 180 patients 252 eyes diagnosed with congenital dacryocystitis in Ophthalmology Department of Xiangxizhou Hospital were retrospectively analyzed. The average age of first diagnosis was 5.8 months. Combined lacrimal sac area massage, antibiotics eye drops, irrigation of lacrimal passage and probing the lacrimal passage were performed. Followed up for 2-12 months, with epiphora completely disappeared and lacrimal duct flushing unobstructed as cure target.

RESULTS: In 180 cases 252 eyes of infants, a total of 224 eyes were cured, cure rate 88.89%. Among them without probing and healer 54 eyes, accounting for 21.43%; Probing healer 170 eyes, accounting for 67.46%; 132 eyes were cured by one time probing, accounting for 52.38%. In addition caesarean birth children were in 126 cases, accounting for 70%.

CONCLUSION: The congenital dacryocystitis is more common in caesarean birth infant, early effective lacrimal duct agent through joint lacrimal sac area massage and antibiotics eye drops is an effective treatment for congenital dacryocystitis.