目的 :探讨化脓性中耳炎引起颅内外并发症的临床特征。方法 :回顾性分析 1993年 3月～ 2 0 0 2年 8月我院收治的有颅内外并发症的急慢性化脓性中耳炎患者 6 0例的临床资料。 结果 :6 0例患者中 ,单项并发症 4 9例 (81.6 %) ,2项以上并发症 11例 (18.3%) ,总计 74例次 ,其中乙状窦病变 13例 ,硬膜外脓肿 2例 ,脑膜炎 4例 ,脑脓肿 3例 ,迷路炎 2 0例 ,耳周围脓肿 18例 ,颈部脓肿 2例 ,面瘫 12例。结论 :颅内外并发症的发病率较以前有所降低 ,严重的并发症少见 ;影像学检查可提供重要的诊断依据 ,手术探查是最可靠的诊断和治疗方法。 Objective: To investigate the clinical characteristics of extracranial suppurative otitis media caused by extracranial complications. Methods: The clinical data of 60 patients with acute and chronic suppurative otitis media with intracranial and external complications admitted in our hospital from March 1993 to August 2002 were retrospectively analyzed. Results: Of the 60 patients, 49 cases (81.6%) had single complications and 11 cases (18.3%) had 2 or more complications, a total of 74 cases, including 13 cases of sigmoid sinus disease, 2 cases of epidural abscess 4 cases of meningitis, 3 cases of brain abscess, 20 cases of labyrinthitis, 18 cases of abscess around ear, 2 cases of neck abscess and 12 cases of facial paralysis. Conclusion: The incidence of intracranial and extracranial complications is lower than before, and serious complications are rare. Imaging examination can provide important diagnostic evidence. Surgical exploration is the most reliable method of diagnosis and treatment.