报告应用Nd:YAG激光对112例分泌性中耳炎患者进行鼓膜造孔术,观察了不同大小造孔的闭合时间及造孔前后听力学变化和鼓室功能曲线变化。全部病例无耳漏、听力下降、遗留穿孔等并发症发生。认为激光造孔术开辟了治疗分泌性中耳炎的新途径,且手术操作简便,定位准确,无出血,痛苦小,手术时间短,值得推广应用。造孔直径以2～3mm为佳,鼓膜双造孔较单造孔更利于改善中耳道气,加速排液,复发率低。 Report of the use of Nd: YAG laser 112 cases of secretory otitis media were tympanostomy, observed the closure time of different sizes of the hole and before and after making the hole in the auditory changes and tympanogram changes. No cases of otorrhea, hearing loss, left perforation and other complications occurred. It is believed that laser porogenesis opens up a new way for the treatment of secretory otitis media, and the operation is simple, accurate positioning, no bleeding, little pain, short operation time, which is worth popularizing and applying. Pore ​​diameter to 2 ~ 3mm better, double tympanic membrane hole more conducive to improving the middle ear canal gas, accelerate the drainage, the recurrence rate is low.