方法：回顾性分析25例25眼慢性泪囊炎合并泪囊瘘管患者，分为两组：双硅胶管组13例13眼行泪囊瘘管切除联合泪道双硅胶管植入术，传统组12例12眼行传统外路鼻腔泪囊吻合术，分析两组疗效。

结果：双硅胶管组：治愈12例12眼，好转1例1眼，治愈率92.3%，有效率100%。传统吻合组：治愈11例11眼，有效1例1眼，治愈率91.7%，有效率100%，两组患者比较差异无统计学意义(P>0.05)。

结论：泪囊瘘管切除联合泪道双硅胶管植入治疗慢性泪囊炎并泪囊瘘管效果与传统外路鼻腔泪囊吻合术相当，但更微创、无面部瘢痕，可减少患者痛苦，满足患者美容的需求。

METHODS: Totally 25 cases(25 eyes)of chronic dacryocystitis with lacrimal fistula were allocated into two groups: the double silicone intubation group of 13 cases(13 eyes)received lacrimal fistula excision combined with double silicone intubation, and the routine group of 12 cases(12 eyes)received routine dacryocystorhinotomy, we analyzed the curative effect.

RESULTS: The double silicone intubation group had a cure rate of 92.3%(12 eyes), a effective rate of 100%, compared with the routine group had a cure rate of 91.7%(11 eyes), a effective rate of 100%, there were no statistically significant difference between the two groups(P>0.05).

CONCLUSION:Lacrimal fistula excision combined with double silicone intubation has a same effect with routine dacryocystorhinotomy in the treatment of chronic dacryocystitis with lacrimal fistula, but less invasive, no scar, less pain, and meet the patients' esthetic needs.