泪小管断裂在临床上较常见,我们采用显微镜下寻找泪小管断端,插入硬膜外麻醉管吻合术,关键步骤采用新技巧,取得较好疗效。2008年7月至2009年12月间在浙江瑞安市人民医院治疗的泪小管断裂患者29例,皆为单眼下泪小管断裂伤,年龄18~67岁;受伤原因:车祸13例,硬物伤8例,摔伤5例, Tear canaliculus fracture is more common in clinical, we use the microscope to find the ends of the canaliculi, an epidural anesthesia tube anastomosis, the key steps to adopt new skills to achieve better efficacy. From July 2008 to December 2009 in Ruian City People’s Hospital of Zhejiang Province, the treatment of 29 patients with canalicular rupture, all of which are monocular canalicular laceration, aged 18 to 67 years; cause of injury: car accident in 13 cases, hard injury 8 cases, 5 cases of falls,