慢性化脓性中耳炎是一种最常见而有时危及生命的疾病。它不但使患者听力下降,且可引起颅内外多种并发症。作者自1985年1月～1990年12月共收治115例(其中2例双耳),全部经手术治疗,现分析如下。 临床资料 一、性别:男65例,女50例,男:女=5:4,年龄最小7岁,最大64岁。平均年龄24岁。职业:居民25例,农民61例,学生27例,学龄前儿童2例。居民中教工14例,一般职工9例,护士1例,另1例无职业,病程1年以下4例,1～5年27例,6～10年26例,11～20年38例,21～30年14例31～40年5例,40年以上1例。 二、诊断:本组115例经临床检查及X线照片确诊为慢性化脓性中耳炎并胆脂瘤形成或骨质破坏91例,其他24例为慢性化脓性中耳炎单纯型。115例中46例术前有并发症:耳后脓肿7例,耳后瘘管14例,左侧颈深部感染1例,迷路炎3例,面神经麻痹7例,脑膜炎13例,小脑脓肿5例,大脑脓肿2例,脑脊液耳漏1 Chronic suppurative otitis media is one of the most common and sometimes life-threatening conditions. It not only makes the patient’s hearing loss, and can cause a variety of intracranial complications. The author from January 1985 to December 1990 were treated 115 cases (2 cases of both ears), all by surgery, are analyzed as follows. Clinical data First, the gender: male 65 cases, female 50 cases, male: female = 5: 4, the youngest 7 years old, maximum 64 years old. The average age is 24 years old. Occupation: 25 residents, farmers 61 cases, 27 students, 2 cases of preschool children. Among the residents, there are 14 faculty members, 9 general staff members, 1 nurse practitioner, 1 non-professional occupational person, 4 patients with less than 1 year duration, 27 patients 1 to 5 years, 26 patients 6 to 10 years, 38 patients 11 to 20 years, 21 ~ 30 years 14 cases 31 to 40 years in 5 cases, more than 40 years in 1 case. Second, the diagnosis: The group of 115 cases of clinical examination and X-ray confirmed chronic suppurative otitis media and cholesteatoma or bone destruction in 91 cases, the other 24 cases of chronic suppurative otitis media simple type. Among the 115 cases, 46 cases had preoperative complications: 7 cases of posterior ear abscess, 14 cases of posterior ear fistula, 1 case of left cervical deep infection, 3 cases of labyrinthitis, 7 cases of facial paralysis, 13 cases of meningitis and 5 cases of cerebellar abscess , 2 cases of brain abscess, 1 case of cerebrospinal fluid leak