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急性泪囊炎是眼科急症,传统治疗手术成功率低、治疗周期长、手术创伤大、术后面部瘢痕大、泪道功能难以恢复等缺点严重影响治疗效果;内窥镜下良好的照明和目前高清、超高清及3D 成像系统,使肉眼下操作的经验性手术成为可直视的显微微创手术,真正实现了“内镜下经鼻泪囊鼻腔微创黏膜吻合术”的理念以及临床上直视下微创手术的转变,可有效快速地控制各期急性泪囊炎.现就急性泪囊炎的基本概念、治疗现状、治疗方法的研究进展进行综述.“,”Acute dacryocystitis is an ophthalmic emergency. Due to the low success rate, long treatment cycle, surgical trauma, postoperative facial scar, lacrimal duct function difficult to restore and other shortcomings of tratitional surgical treatment, it seriously affect the treatment effect. Under endoscope good illumination and present high clear superelevation clear and 3D imaging system, causes the empirical surgery which the naked eye cease training does to become has been possible to look straight ahead reveals creates the surgery slightly, the real realization of the“endoscopic nasal cavity through the nasal cavity minimally invasive mucosal anastomosis”concept and clinical direct changes in minimally invasive surgery and can be effective and rapid control of the period acute dacryocystitis. This article review the basic concept, the present treatment situation, methods and research advance of acute dacryocystitis.