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中耳炎的分型和治疗国内外争议很大,从2004年西安全国中耳炎会议的论文数量和讨论时各地专家的分歧就可窥及一斑,但中耳炎的分型重点以什么为标准?治疗究竟以什么为依据?这些问题定下来,其他问题也就迎刃而解了。虽经几代耳科学家不懈努力研究,中耳炎至今仍被视为是引起听力障碍的主要疑难顽症。主要原因是对中耳炎病理及病理生理变化规律知之甚少,至今对复杂中耳炎病理的认识仍处在非常早期的阶段,正如杨伟炎教授所说“中耳炎是一个古老而不衰的课题”。
The classification and treatment of otitis media is very controversial both at home and abroad. From the number of papers and discussions on the national otitis media conference in Xi’an in 2004, we can see the differences among experts in the field, but what is the criteria for the classification of otitis media? As the basis? These problems are fixed, other problems will be solved. Otologists are still regarded as the major cause of hearing problems today, despite many years of unrelenting research by otolaryngologists. The main reason is that there is little understanding of the pathological and pathophysiological changes of otitis media. Up to now, the understanding of the pathology of complicated otitis media is still at a very early stage. As Professor Yang Weiyan said, “otitis media is an ancient but not decisive topic.”