介绍应用阴道B超指引下经阴道抽吸输卵管卵巢脓肿和输卵管积脓的经验。 自1988年7月～1993年7月治疗了15例急性盆腔炎性疾病,其中12例证实有慢性盆腔炎史。年龄23～37岁。所有患者均有急性盆腔炎的临床表现,包括发热(T38～39.4℃),心动过速及腹痛、压痛和下腹肌紧张。妇检时附件压痛明显,宫颈移动痛加剧。仅有8例可触及盆腔包块。此外,均有白细胞升高和C-反应蛋白增高。阴道B超发现盆腔囊性包块,9例显示1个囊腔,6例有2个。囊腔直径平均为67.3±16.1mm(40～95mm)。在抗生素治疗下采用 Introduce the application of vaginal B-guided vaginal tubal ovarian abscess and tubal empyema experience. From July 1988 to July 1993 treated 15 cases of acute pelvic inflammatory disease, of which 12 confirmed the history of chronic pelvic inflammatory disease. Age 23 to 37 years old. All patients had clinical manifestations of acute pelvic inflammatory disease, including fever (T38 ~ 39.4 ℃), tachycardia and abdominal pain, tenderness and lower abdominal muscle tension. Prostate attachment pain when the obvious, cervical pain intensified. Only 8 cases can reach pelvic mass. In addition, both leukocytosis and C-reactive protein increased. Vaginal B-found pelvic cystic mass, 9 cases showed a cyst, 6 cases have 2. The average diameter of the cysts was 67.3 ± 16.1mm (40 ~ 95mm). Used in the treatment of antibiotics