目的探讨经阴道超声引导穿刺治疗盆腔包裹性积液的临床意义。方法对81例盆腔包裹性积液患者经阴道超声引导下穿刺、药物注射治疗,并与同期45例药物或手术治疗患者对照,随访1年。结果81例均穿刺成功,穿刺成功率100%。治愈56例,占69.2%,总有效率92.5%,无效6例,占7.5%。对照组治愈32例,占70.7%,总有效率91.4%,无效4例,占8.6%。结论经阴道超声引导穿刺、注射药物治疗盆腔包裹性积液具有操作简单、安全、可重复性,与药物或手术治疗疗效相近,具有临床应用价值。 Objective To investigate the clinical significance of transvaginal ultrasound guided puncture for pelvic fluid encapsulation. Methods Eighty - one patients with pelvic fluid encapsulation were punctured by transvaginal ultrasound and injected with drugs, and were compared with 45 cases of drug or surgical treatment in the same period. The patients were followed up for 1 year. Results 81 cases were successful puncture, puncture success rate of 100%. 56 cases were cured, accounting for 69.2%, the total effective rate was 92.5%, 6 cases were ineffective, accounting for 7.5%. The control group cured 32 cases, accounting for 70.7%, the total effective rate was 91.4%, 4 cases were ineffective, accounting for 8.6%. Conclusion Transvaginal ultrasound guided puncture and injection of drugs for pelvic fluid encapsulation has the advantages of simple operation, safety and repeatability, which is similar to that of drug or surgical treatment and has clinical value.