目的 :探讨联合进路鼓室成形术治疗慢性化脓性中耳乳突炎的疗效。方法 :对 32例、34耳采用联合进路手术清除中耳乳突病变 ,同时一期完成鼓室成形术。结果 :术后随访 1～ 5年 ,鼓膜全部愈合 ,形态良好 ,内陷 2耳 ,无胆脂瘤复发。语言频率平均气导听力提高 15dB以上 31耳 ,占 91 1%。结论 :只要严格掌握手术适应证 ,正确彻底清除中耳乳突病变组织 ,可重建听力 ,术后获得满意疗效 Objective: To investigate the effect of combined approach tympanoplasty in the treatment of chronic suppurative otitis media. Methods: 32 cases, 34 ears were treated by combined approach to clear the middle ear papillae lesions, while a tympanoplasty completed. Results: After 1 to 5 years of follow-up, the tympanic membrane healed completely and showed good shape with 2 ears retracted without cholesteatoma recurrence. The average frequency of hearing aids increased by 15dB above 31 ears, accounting for 91 1%. Conclusion: As long as strict indications of surgical indications, correct and complete removal of the middle ear papilla lesions can be re-established hearing, after surgery to obtain satisfactory results