AIM: To explore the effects of nasal lacrimal sac anastomosis combined with tube insertion under nasal endoscope on patients with chronic dacryocystitis and nasolacrimal duct obstruction.

METHODS: Totally 70 patients(70 eyes)with chronic dacryocystitis and nasolacrimal duct obstruction in our hospital from December 2011 to December 2014 were selected, and were randomly divided into control group and study group. The control group were treated with nasal cavity lacrimal sac anastomosis under nasal endoscope, and the study group were treated with nasal lacrimal sac anastomosis combined with tube insertion under nasal endoscope. Total effective rates and fistula areas at 1, 6 and 12mo before and after operation were compared between the two groups.

RESULTS: At 1mo after operation, there was no significant difference in total effective rates between the control group(97%)and the study group(100%; P>0.05). At 6mo after operation, the total effective rate in the study group(97%)was significantly higher than that in the control group(77%; P<0.05). At 12mo after operation, the total effective rate in the study group(94%)was significantly higher than that in of the control group(71%; P<0.05). There was no significant difference in fistula areas between the two groups at 1mo after the operation(P>0.05), while fistula areas in the study group were larger than those in the control group at 6 and 12mo after operation(P<0.05).

CONCLUSION: The effects of nasal lacrimal sac anastomosis combined with tube insertion under nasal endoscope on patients with chronic dacryocystitis and nasolacrimal duct obstruction are remarkable.