Abstract: Objective　To summarize the experience of nursing cooperation in 45 cases of complex lacrimal duct obstruction surgery. Methods　A retrospective analysis was conducted on the clinical data and surgical nursing cooperation of 45 patients (58 eyes) with complex lacrimal duct obstruction treated at Zhongshan Ophthalmic Center, Sun Yat-sen University from January 2023 to January 2024. The key points and experiences of surgical nursing cooperation were summarized. Results　After the surgical treatment for 45 patients with complex lacrimal duct obstruction, a follow-up of 3 months was conducted. Among the 58 eyes, 52 eyes (89.7%) had unobstructed lacrimal ducts, and no epiphora occurred. None of the patients experienced serious complications. Conclusions　Before the operation, conduct a comprehensive assessment of the patient and provide psychological counseling; that the equipment is in good conditions should beensured, and all surgical supplies are prepared adequately. During the operation, precise nursing assistance can effectively improve the quality and efficiency of the surgery, and improve the satisfaction of doctors with the surgical cooperation.

Key words: Lacrimal duct obstruction, Surgical treatment, Perioperative period, Nursing, Summary of experience

摘要： 目的　总结45例复杂性泪道阻塞手术的护理配合经验。方法　回顾性分析中山大学中山眼科中心2023年1月至2024年1月期间45例（58眼）复杂性泪道阻塞患者的临床资料及手术护理配合，提炼手术护理的关键配合要点及经验。结果　45例复杂性泪道阻塞患者通过手术治疗后，随访3个月，58眼中有52眼（89.7%）泪道冲洗通畅、且无溢泪现象，所有患者均未出现严重并发症。结论　术前对患者进行全面评估及心理疏导、确保仪器设备性能良好、手术用物准备充分、术中精准的护理配合，能有效地提升手术质量与效率，提高医生对手术配合的满意度。

关键词: 泪道阻塞, 手术治疗, 围手术期, 护理, 经验总结