方法：对2011-12/2014-12在本院眼科就诊的28例急性泪囊炎并发脓肿患者行泪小点引流联合Nd：YAG泪道激光成形加泪道再通管置入术，置管6mo后拔管后再随访6mo，观察流泪、流脓、脓肿消退、泪道通畅等情况及有无并发症发生。

结果：各种急性泪囊炎并发脓肿患者在带管6mo内，脓肿均消退，溢泪消失或改善，泪道冲洗畅。拔管后随访6mo，治愈13眼，好转7眼，总有效率为71%，无效8眼(29%)。

结论：泪小点引流联合Nd：YAG泪道激光成形加泪道再通管置入术是一种有效的急性泪囊炎并发泪囊脓肿的治疗方法，但复发率高，可再次手术。

METHODS:A total of 28 patients who were diagnosed as acute dacryocystitis with abscess formation during the period from December 2011 to December 2014 were treated with puncta drainage and Nd:YAG laser dacryocystoplasty with silicone tube stents. The silicone tube stents were removed after 6mo, and the patients were followed up for at least 6mo. The situation of epiphora, suppurating, abscess absorption and other complications were observed.

RESULTS:In the first 6mo postoperatively, improvement or absence of the epiphora, unobstructed lacrimal duct occurred in all the patients, and there was no recurrence of the lacrimal inflammation or pyorrhea. The silicone tube stents were removed at 6mo postoperatively, the follow-up period was 6mo after removal of the silicon tube stents. There were 13 eyes cured and 7 eyes improved, and the total effective rate was 71%. No improvement was observed in 8 eyes, accounting for 29%.

CONCLUSION:The puncta drainage and Nd:YAG laser dacryocystoplasty with silicone tube stents is an effective treatment for acute dacryocystitis complicated by abscess formation. But the recurrence rate is high, and another surgery is needed in such cases.