讨论泪小管断裂Ⅰ期吻合并硬膜外麻醉导管植入的时机，手术方法及成功的关键及术后效果。 方法：回顾性分析2010-04/2011-06在我院行泪小管断裂Ⅰ期吻合并硬膜外麻醉导管植入的30例患者的手术方法及注意要点并观察术后效果。 结果：术后随访6～18mo，24例冲洗通畅，3例患者轻微泪溢症状，泪道冲洗有阻力，3例阻塞，治愈率80％。 结论：下泪小管断裂进行吻合并植入硬膜外麻醉导管支撑术后，泪小管能够有良好的导泪功能

To discuss the moment, surgical method, the key to success and postoperative result of stage Ⅰ anastomosis of lacrimal canaliculus fracture combined with epidural catheter implanting. METHODS:Thirty cases who received stage Ⅰ anastomosis of lacrimal canaliculus fracture combined with epidural catheter implanting in our hospital from April 2010 to June 2011 were retrospectively analysed. RESULTS:Followed up for 6 months to 24 months after operation, 24 cases were with smooth irrigation, 3 cases with slight epiphora and resistance in irrigation, 3 cases obstructed, and the cure rate was 80%. CONCLUSION:Canaliculus obtains good tear-guiding function with anastomosis of inferior lacrimal canaliculus fracture combined with epidural catheter implanting.