作者总结20余年来作鼓室成形术148耳的经验,计Ⅰ型29耳,Ⅱ型53耳,Ⅲ型46耳,Ⅳ型16耳和Ⅴ型4耳。人工鼓膜的愈合率达63％,听力升高率达71％,其中有3耳升高30dB。本文从做手术的年龄分布、流脓历史、麻醉种类、人工鼓膜状况及术后听力变化同手术类型的关系、鼓膜材料同成活率的关系、听骨材料以及并发症等方面作了较详细的阐述。作者特 The authors summarize the experience of tympanoplasty 148 ears for more than 20 years, including type I 29 ears, type II 53 ears, type III 46 ears, type IV 16 ears and Ⅴ type 4 ears. Artificial tympanic membrane healing rate of 63%, hearing rate increased 71%, of which 3 ears increased 30dB. This article from the age of the operation, the history of pus, anesthesia, the status of the artificial tympanic membrane and postoperative changes in the relationship between the type of surgery and the tympanic membrane material with the survival rate of the relevant materials and complications of the ossicles made a more detailed Explain. Author special