【摘 要】目的：探讨急性化脓性中耳炎合并慢性鼻窦炎的临床治疗方法及效果。方法：选取我院收治的96例急性化脓性中耳炎合并慢性鼻窦炎患者进行研究，按照随机数字表法进行分组，对照组48例，行常规局部治疗，观察组48例，在局部治疗的基础上行上颌窦穿刺冲洗、负压置换治疗等综合治疗；对比两组的治疗效果。结果：观察组患者的临床总有效率明显高于对照组(p<0.05)；观察组患者的复发率明显低于对照组(p<0.05)；两组鼓膜穿孔率对比无较大差异(p>0.05)；观察组患者的住院时间明显短于对照组(p<0.05)。结论：给予急性化脓性中耳炎合并慢性鼻窦炎患者综合治疗相对于局部治疗效果更加理想，可提高治疗效果，减少患者复发，值得推广应用。

    【关键词】急性化脓性中耳炎；慢性鼻窦炎；局部治疗；上颌窦穿刺冲洗；负压置换

    Clinical treatment of acute suppurative otitis media with chronic sinusitis

    Abstract Objective： To investigate the clinical treatment and effect of chronic sinusitis in acute suppurative otitis media. METHODS： Ninety-six patients with acute suppurative otitis media combined with chronic sinusitis admitted to our hospital were selected for study. Randomized digital table was used for grouping. 48 patients in the control group received conventional local treatment. 48 patients in the observation group took the place of local treatment. The maxillary sinus puncture irrigation ......