目的　应用耳内窥镜指导中耳腔置管术治疗分泌性中耳炎疗效分析。方法　对 4 5例分泌性中耳炎患者于全麻或鼓膜表麻下行中耳腔置硅胶管术 ,时间约 6个月至 1年。术前如有可能引起分泌性中耳炎的病灶如慢性扁桃体炎、腺样体肥大或鼻窦炎一并手术或治疗。结果　 4 5例患者术后听力明显提高 ,耳部症状消失。结论　应用耳内窥镜下指导中耳腔置管术视野清楚 ,操作简单损伤小 ,疗效好 ,是一种可行的治疗分泌性中耳炎的办法 Objective To evaluate the curative effect of middle ear cavity catheterization on otitis media with otitis media. Methods 45 cases of secretory otitis media under general anesthesia or tympanic epidural anesthesia in the middle ear set silicone tube surgery, time about 6 months to 1 year. If preoperative may cause secretory otitis media lesions such as chronic tonsillitis, adenoid hypertrophy or sinusitis surgery or treatment. Results 45 cases of patients with postoperative hearing was significantly improved, the ear symptoms disappeared. Conclusion The application of endoscopic sinus catheterization under the guidance of a clear vision, simple operation, small injury, good effect, is a viable treatment of secretory otitis media