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：探讨提高手术治疗胆脂瘤性中耳炎疗效的方法。方法：对采用经上鼓室、经鼓窦筛区和完整外耳道－乳突联合进路手术清除病变，并同时一期完成鼓室成形手术的８６０例胆脂瘤性中耳炎病人的临床资料进行分析。结果：三种术式的复发率分别为１０％，１１％和６％；５年内听力提高分别为５６％，４４％和６９％，５～１５年内分别为４５％，３４％和６２％；鼓膜形态不同程度异常（内陷、粘连和穿孔）分别为４３％，４７％和１２％。结论：根据病变部位选择合适的术式虽都能起到根治、干耳作用，但完整外耳道－乳突联合进路术式优于前两者。
: To explore ways to improve the efficacy of surgical treatment of cholesteatoma otitis media. Methods: The clinical data of 860 patients with cholesteatoma otitis media who underwent tympanotomy via upper drum room, tracheal sinus area and complete external auditory canal-mastoid process were used to analyze the clinical data. Results: The recurrence rates of the three surgical procedures were 10%, 11% and 6% respectively. The improvement of hearing in 5 years was 56%, 44% and 69% respectively, 45%, 34% and 62% respectively in 5 to 15 years. Different degrees of tympanic membrane abnormalities (invagination, adhesions and perforation) were 43%, 47% and 12%. Conclusion: According to the location of the lesion to choose the appropriate surgical procedures may play a radical, dry ear, but the complete external auditory canal - mastoid approach is superior to the former two.