目的：探讨鼓室成形术不同术式治疗各型慢性化脓性中耳炎（ＣＳＯＭ）的手术疗效。方法：对１８９耳ＣＳＯＭ患者分别行单纯鼓膜修补术、病灶清除＋鼓膜修补术、病灶清除＋听骨链成形＋鼓膜修补术。结果：鼓膜穿孔愈合率达９９％以上，听力有不同程度提高。结论：对不同类型的ＣＳＯＭ应采用不同术式的鼓室成形术，病变愈单纯，术后听力改善愈佳，能适应较简单手术者，效果较佳。凡鼓室成形术，均应行鼓室探查。 Objective: To investigate the surgical treatment of various types of chronic otitis media with otolaryngoplasty (CSOM). Methods: One hundred and ninety-nine patients with CSOM underwent simple tympanic membrane repair, lesion clearance, tympanic membrane repair, lesion clearance, ossicular chain forming and tympanic membrane repair. Results: The healing rate of tympanic membrane perforation was above 99%, hearing ability increased to some extent. CONCLUSION: For different types of CSOM, tympanoplasty with different surgical procedures should be used. The more the lesions are, the better the postoperative hearing improvement is and the more suitable for the simpler operation is. Where tympanoplasty, tympanic exploration should be performed.