目的探析超声引导下经阴道和经腹壁穿刺治疗盆腔良性囊性肿物的临床疗效。方法盆腔良性囊性肿物患者52例随机均分为两组,A组采取超声引导下经阴道穿刺治疗,B组采取超声引导下经腹壁穿刺治疗,比较两组患者临床疗效。结果 A组治愈12例,显效8例,有效5例,无效1例。B组治愈12例,显效8例,有效4例,无效2例。A组和B组总有效率和复发率均相当(96.15%vs.92.31%和7.69%vs.11.54%)(P>0.05)。结论对于盆腔良性囊性肿物患者采取超声引导下经阴道和经腹壁穿刺治疗均安全、有效。 Objective To investigate the clinical efficacy of transvaginal and transabdominal puncture guided pelvic benign cystic masses guided by ultrasound. Methods 52 cases of benign and malignant pelvic masses were randomly divided into two groups. Group A was treated with transvaginal ultrasound guided ultrasound, while group B was treated with ultrasound guided abdominal puncture. The clinical efficacy was compared between the two groups. Results In group A, 12 cases were cured, 8 cases were markedly effective, 5 cases were effective and 1 case was ineffective. B group cured 12 cases, markedly effective in 8 cases, effective in 4 cases, 2 cases. The total effective rate and recurrence rate in group A and group B were quite similar (96.15% vs 92.31% and 7.69% vs.11.54%, respectively) (P> 0.05). Conclusions For patients with pelvic benign cystic masses, transvaginal and transabdominal puncture guided by ultrasound is safe and effective.