目的　探讨盆腔假性囊肿的发病机制、术前诊断、预防对策和腹腔镜对其诊治的优势。方法　回顾性分析 2 0 0 0年 4月至 2 0 0 3年 7月间广东省东莞市人民医院经腹腔镜手术及病理证实的 38例盆腔假性囊肿的患者治疗方法并对治疗效果进行随访。结果　盆腔假性囊肿术前诊断率低 ,只有 15 8%。 38例术后经 1～ 3年随访 ,仅 1例复发 ,治愈率达 97 3%。结论　盆腔包块行腹腔镜探查术是一种确切的确诊方法 ,盆腔假性囊肿多继发于术后或感染后 ,术中正确处理是预防其发生的主要对策 ,腹腔镜手术对其诊治有一定优势 Objective To explore the pathogenesis of pelvic pseudocyst, preoperative diagnosis, prevention and treatment of laparoscopic advantages. Methods The clinical data of 38 patients with pelvic pseudocyst proved by laparoscopic surgery and pathology from April 2000 to July 2003 in Dongguan City, Guangdong Province were analyzed retrospectively. The follow-up results were analyzed . Results pelvic pseudo cyst preoperative diagnosis rate is low, only 15 8%. Thirty-eight patients were followed up for 1 to 3 years, with only 1 patient relapsed. The cure rate was 97.3%. Conclusions Laparoscopic exploration of pelvic mass is an exact method of diagnosis. Pelvic pseudocyst is secondary to postoperative or postoperative infection. Correct treatment during operation is the main countermeasure to prevent its occurrence. Laparoscopic surgery Certain advantages