目的介绍双腰穿针法治疗陈旧性泪小管断裂。方法第一根腰穿针经上泪点泪道探通，并以其为支撑行泪总管或泪囊切开。第二根腰穿针经下泪小管、泪总管或泪囊切口泪道深通的同时退出第一根腰穿针，泪道冲洗挂线，逆行硅胶棒置入，下泪小管与泪总管或泪囊吻合。结果14例中除1例泪点撕裂轻微溢泪外，均一次治愈。结论该术式操作及术后处理简便，成功率高。 Objective To introduce the double lumbar needle puncture treatment of old tear canal rupture. Methods The first lumbar puncture through the punctum lacrimal duct probing, and with its support for the tear duct or dacryocystorhinotomy. The second lumbar puncture through the lacrimal duct, tear duct or lacrimal sac incision lacrimal deep exit at the same time out of the first lumbar puncture, lacrimal duct flushing line, retrograde silicone rod placement, the tear canal and tear Explorer or Dacryocyst anastomosis. Results In 14 cases, only 1 case of tears punctured slightly overflow tears, were cured once. Conclusion The operation and postoperative treatment is simple and high success rate.