方法：2012-05/12在我院门诊就诊的泪道阻塞患者141例146眼，行泪道成形术联合泪道硅胶引流管治疗，术后随诊3～6mo，观察泪道再通率以及泪道阻塞的部位、患者年龄以及病程对手术效果的影响。

结果：患者141例146眼中总的治愈率为82.9%(121眼)，好转率13.7%(20眼)，无效率3.4%(5眼)。其中，泪总管阻塞的治愈率(87.2%)高于泪小管阻塞的(82.9%)以及鼻泪管阻塞的(75.9%)，但差异没有统计学意义(χ²=2.20，P=0.69)。青年组治愈率为(88.4%)高于中老年组(82.4%)和老年组(75.9%)，但差别也没有统计学意义(χ²=2.56，P=0.63)。病程<10a的治愈率为93.8%，而病程≥10a的治愈率为74.4%，差别有统计学意义(χ²=9.58，P=0.009)。

结论：泪道成形术联合泪道置管术是治疗泪道阻塞简单有效的方法，患者的病程可能是影响治愈率的主要因素。

METHODS: Totally 141 cases(146 eyes)with lacrimal duct obstruction treated in our hospital during May 2012 to December 2012 were selected, followed up for 3-6 months. The lacrimal recanalization rate, position of lacrimal duct obstruction, age and disease process to surgery effect were observed.

RESULTS: The general recurrence rate in 141 cases(146 eyes)was 82.9%(121 eyes), improved rate was 13.7%(20 eyes), no effect was 3.4%(5 eyes). The cure rate of Lacrimal duct obstruction(87.2%)was higher than lacrimal canalicular obstruction(82.9%)and nasolacrimal duct obstruction(75.9%), but there was no statistical difference(P>0.05). The cure rate of young group(88.4%)was higher than middle age group(82.4%)and senile group(75.9%), but there was no statistical difference(P>0.05). The cure rate of less 10 years was 93.8%, more than 10 year was 74.4%, there was statistical difference(χ²=9.58, P<0.001=0.009).

CONCLUSION: Lacrimal plastic operation combined with lacrimal duct intubation for the treatment of lacrimal duct obstruction is simple and efficacy. The patients' process may be the main reason of cure rate.