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先天性泪囊瘘是一种罕见的发育异常。我们报告１３例（１３眼）先天性泪囊瘘的患儿，因有临床症状而治疗，年龄１／２－１２岁（平均５．８岁）。１３例患儿的症状都是出生后泪溢和瘘口有粘液外溢。４例单纯性泪囊瘘的患儿仅作瘘管切除术；另９例合并鼻泪管阻塞的泪囊瘘患儿，６例作鼻泪管探通术后症状消失，３例作瘘管切除联合鼻泪管探通术。术后症状消失，随访４－８８月（平均４８月）。我们认为对有症状的先天性泪囊瘘的患儿，瘘管切除或联合鼻泪管探通术是简单、方便而有效的处理方法。
Congenital lacrimal fistula is a rare developmental abnormality. We report 13 children (13 eyes) with congenital lacrimal fistula who were treated for clinical symptoms, ages 1 / 2-12 years (mean 5.8 years). Thirteen children had symptoms of mucopurulent spilled water and fistula at birth. Four cases of simple lacrimal fistula only fistula resection in children; the other nine cases of lacrimal sac fistula with nasolacrimal duct obstruction, 6 cases of nasolacrimal duct exploration after the disappearance of symptoms, 3 cases of fistula resection combined Nasolacrimal duct exploration. Postoperative symptoms disappeared, followed up for 4-88 months (mean 48 months). We believe that fistula resection or nasolacrimal duct exploration is a simple, convenient and effective treatment for children with symptomatic congenital lacrimal fistula.