本文报告蜗窗膜破裂13例,男性10例,女性3例,年龄在18～57岁间。单侧12例,双侧1例,故共14耳,左耳5例,右耳9例。作者们对蜗窗膜破裂的发生机制进行了探讨,提出了Goodhill氏等对外淋巴瘘通入中耳的有关论述,即所谓“外爆破(explosive)”和“内爆破(implosive)”两种机制。内爆破学说即在中耳内、咽鼓管甚或包括鼓膜压力急剧升高,但这势将导致鼓膜损伤,事实上并未见过此 This report reported 13 cases of rupture of the diaphragm, including 10 males and 3 females, aged 18-57 years. 12 cases of unilateral, bilateral in 1 case, so a total of 14 ears, left ear in 5 cases, right ear in 9 cases. The authors explored the mechanism of the rupture of the snail and proposed the introduction of the Goodhill’s lymphatic fistula to the middle ear, the so-called “explosive” and “implosive” mechanisms . Blastomy theory that is in the middle ear, Eustachian tube or tympanic membrane or even including a sharp increase in pressure, but this situation will lead to tympanic membrane damage, in fact, have not seen this