目的　探讨一种损伤小、恢复快、临床效果好的先天性无阴道的阴道成形术。方法　 1997年 4月至2 0 0 3年 10月间共行经会阴盆腔腹膜阴道成形术 10例。用水压造穴法形成阴道腔穴 ,采用腹腔充气及注入美蓝液寻找盆腔腹膜 ,经阴道腔穴游离盆腔腹膜 ,覆盖腔穴创面。结果　手术时间短 [(6 5± 2 3)min],出血量少 [(80 0± 2 1 5 )mL],住院费用低 ,无明显并发症 ,所形成的阴道效果好。结论　经会阴盆腔腹膜阴道成形术实用可行 ,值得推广。 Objective To explore a less invasive, rapid recovery, clinical effect of good vaginal non-vaginoplasty. Methods From April 1997 to October 2003, 10 cases of perineal pelvic peritoneal vaginoplasty were performed. Water pressure points method to create vaginal cavity, the use of peritoneal inflatable and injection of methylene blue liquid looking for pelvic peritoneum, pelvic peritoneal vaginal cavity free, covering the cavity wound. Results The operation time was short [(65 ± 2 3) min] and the amount of bleeding was less [(80 0 ± 2 1 5) mL]. The hospitalization cost was low and no obvious complication was found. Conclusions Perineal pelvic peritoneal vaginoplasty is feasible and worthy of promotion.