报告自发性淋巴瘘45例,其中8例为双耳发病,7例在同一耳累及两窗。41例在手术探查时证实为外淋巴瘘,余4例虽然没有看到确切的渗漏,但存在镫骨底板活动过度、卵圆窗周围过多薄膜样粘连、镫骨可动性大及圆窗膜极端外移。外淋巴瘘的症状诸如头晕、波动性听力下降、耳闷胀、耳鸣、偶见耳痛,它可为单一症状或由几个症状合并出现,临床表现犹似迷路水肿,但外淋巴瘘病例往往有涉及二窗 Reported 45 cases of spontaneous lymphatic fistula, of which 8 cases of binaural onset, 7 cases in the same ear involvement and two windows. 41 cases of external lymphatic fistula confirmed during surgical exploration, although the remaining 4 cases did not see the exact leakage, but there is excessive activity of the stapes floor, oval window around the excessive film-like adhesions, tarsal mobility and round Window film extreme relocation. Symptoms of perilymph fistula such as dizziness, fluctuating hearing loss, stuffy ears, stuffy ears, occasional earache, it can be a single symptom or a combination of several symptoms, the clinical manifestations are still like labyrinthine edema, but often cases of external lymphatic fistula There are two windows involved