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目的：总结泪小管断裂伤之诊治经验，以提高手术成功率．方法：对３２例作者本人主持手术的病例进行追踪观察和资料分析．结果：３２例术中全部吻合成功，３０例半年以上随访，２９例泪道冲洗通畅．结论：①将泪小管断裂伤分为“近泪小点、近泪囊处及中段”三类利于治疗选择和预后判断．②诊断中要注意泪小管管壁破裂和游丝状部分离断．③“解剖学对位直视法”结合“冲洗法”是最常用、最有效的寻找鼻侧断端的方法．④吻合方法及置管时间长短应酌伤情而定．
OBJECTIVE: To summarize the experience of diagnosis and treatment of canalicular laceration in order to improve the success rate of operation. Methods: Follow-up observation and data analysis were conducted on 32 cases of the patients who underwent operation. Results: All the 32 cases were successfully anastomosed, 30 cases were followed up for more than half a year, and 29 cases were lacrimal. Conclusions: ① The canalicular laceration is divided into three categories: “near the punctum, near the lacrimal sac and the middle segment”, which are conducive to treatment selection and prognosis. ② diagnosis should pay attention to the rupture of the canalicular wall and funnel-like part of the break. ③ “Anatomy alignment method” combined with “washing method” is the most commonly used and most effective way to find the nasal stump. ④ anastomosis methods and catheter length of time should be discretion and may be.