颈静脉球上缘突出于鼓室内者称高位颈静脉球,一般认为系先天性血管走行异常。本症甚属罕见,自Page(1914)首次报告以来西方有少数报告,日本文献迄今尚无报导。作者报告1例,女性59岁,主诉左耳鸣,耳镜检查见左鼓膜下半部呈青蓝带红色,试行鼓膜穿刺导致大量出血。开放鼓室后显示青红色颈静脉球突入鼓室下半部,其上无骨质遮盖。作者复习英文文献,共得27例,加作者1例共28例。综合分析如下:(1)年龄:10个月～65岁,各年龄均可发现,10岁以下小儿仅8例,提示本病可长期不被发现。男12, The jugular bulb superior margin prominent in the tympanic cavity, said high jugular bulb, generally considered Department of congenital vascular abnormalities. The disease is rare, with a few reports in the West since the first report of Page (1914). There is no report in Japanese literature so far. The authors reported 1 case, 59-year-old female, complained of left tinnitus, otoscopy under the left half of the left tympanic membrane was bluish-red, trial tympanic membrane puncture led to a large number of bleeding. After opening the tympanic cavity, the jugular jugular bulb protruded into the lower part of the tympanic cavity with no osseous cover. The author reviewed English literature, a total of 27 cases, plus a total of 1 case in 28 cases. Comprehensive analysis is as follows: (1) age: 10 months to 65 years old, can be found in all ages, only 8 cases of children under 10 years old, suggesting that the disease can not be found in the long term. Male 12,