Ⅰ型鼓室成形术成功率虽高,但有些问题至今仍未获解决,本文报告65例患者施行Ⅰ型鼓室成形术共71次,并就患者之年龄、穿孔之部位、穿孔之大小、术前干耳时间之长短、手术时发现有无感染、对侧耳状况等一些影响手术效果之因素进行分析。手术采用自体颞筋膜行内植法,经术后随访18个月有8例失败,成功率89%。术后两月发生破裂者2例,3月者2例,6月者2例,9月者1例,18个月者1例。年龄对手术成败似无明显影响。穿孔大小:22例鼓膜穿孔超过50%,其中18例为完全性或次全穿孔,有7例失败;穿孔在 Type Ⅰ tympanoplasty success rate is high, but some problems have not been resolved, this report 65 cases were performed type Ⅰ tympanoplasty 71 times, and the patient’s age, perforation of the site, the size of the perforation, preoperative Dry ear length of time, surgery found no infection, the ear condition and some other factors that affect the surgical results were analyzed. Surgery using autologous temporal fascia line implantation, after 18 months of follow-up of 8 cases failed, the success rate of 89%. Two cases had rupture in two months, two cases in March, two cases in June, one case in September and one case in 18 months. Age seems to have no significant effect on the success of surgery. Perforation size: 22 cases of tympanic membrane perforation of more than 50%, of which 18 cases were complete or subtotal perforation, 7 cases failed; perforated