本文报告5例(5耳)慢性化脓性中耳乳突炎,均行联合进路鼓室成型术。术后随访3年,其中4例愈合良好,听力均有不同程度提高,最高达27dB。1例因感染再次穿孔。作者认为,只要严格掌握适应症、手术操作精细,就会获得满意疗效。文中对手术适应证和1例再穿孔的原因进行了探讨,对手术操作稍有改良。依作者之见,本术式值得在耳外科中开展。 This article reports 5 cases (5 ears) chronic suppurative otitis media, both underwent combined tympanoplasty. All cases were followed up for 3 years. Among them, 4 cases healed well and their hearing ability improved to some extent, up to 27 dB. One case was punctured again due to infection. The author believes that as long as strict indications, surgical operation of fine, you will get a satisfactory effect. The article on the surgical indications and one case of re-perforation of the reasons were discussed, a slight improvement in surgical procedures. In the author’s opinion, this procedure is worth carrying out in otology.