简介：摘要目的探讨鼓膜紧张部穿孔的治疗方式和注意点.方法资料完整的紧张部穿孔病例共１０５例,１０７耳,根据CT扫描提示的乳突病灶部位和范围,５７例,５７耳行乳突开放加鼓室成型术,４８例,５０耳行I型鼓室成型(鼓膜修补)术.结果所有患者均随访１年以上,获干耳９７耳,总有效率为９０．７％,病灶清除加鼓室成型组中复发５耳,单纯鼓膜修补组复发５耳,术后无面瘫、眩晕、耳鸣及感音性聋等发生.结论对于鼓膜紧张部穿孔的中耳炎,保守治疗不能治愈时,应积极行CT扫描,明确乳突情况,术中先清除乳突病灶再成型,可提高疗效.关键词鼓膜穿孔紧张部鼓室成型TreatmentoftympanicmembraneperforationinparstensaXINGFenli,TANGHui,WANGJun,etal(Departmentofotolaryngology,NanjingFirstHospital,NanjingMedicalUniversity,Nanjing,JiangsuProvince２１０００６,P．R．China)AbstractObjectiveToobservetheclinicaleffectoftympanoplastyinpatientswithperforationoftympanicmembraneinparstensa．MethodsOf１０７earswithperforationoftympanicmembraneinparstensa,５０earswithoutmastoidproblemunderwentmyringoplasty．５７patientswhohadevidenceofmastoiddiseaseunderwenttympanoplastywithmastoidectomy．ResultsAllcaseswerefollowedupforover１year．Therewasnopostoperativefacialpalsy,vertigo,tinnitusorhearingloss．Thetympanicmembranegrafttakeratefortheentiregroupof１０７earswas９０．７％(９７graftssucceed)．ConclusionTopatientswithperforationoftympanicmembraneinparstensa,theCTscanbeforeoperationwasnecessaryandtympanoplastywithmastoidectomycanreceivesatisfactoryresultsforthepaＧtientsKweityhwomradsstoidproblem．．tympanicmembraneperforation,parstensa,tympanoplasty中图分类号R５７１文献标识码B文章编号１００８－６３１５(２０１５)１２－００７８－０１