目的探讨围绝经期盆腔脓肿的正确诊断和治疗。方法选择2a内收治的21例围绝经期盆腔脓肿患者,就其临床表现、入院诊断、术前诊断、术后诊断及治疗进行分析。结果入院诊断率28.5%,术前诊断率66.6%,术后诊断为卵巢脓肿7例,输卵管卵巢脓肿3例,输卵管脓肿5例,盆腔脓肿6例。结论详细询问病史,综合分析各种临床资料是提高围绝经期盆腔脓肿正确诊断和治疗的关键。 Objective To investigate the correct diagnosis and treatment of perimenopausal pelvic abscess. Methods 21 cases of perimenopausal pelvic abscess treated in 2a were selected and their clinical manifestations, admission diagnosis, preoperative diagnosis, postoperative diagnosis and treatment were analyzed. Results The diagnosis rate of admission was 28.5%, preoperative diagnosis rate was 66.6%. Postoperative diagnosis of ovarian abscess in 7 cases, tubal ovarian abscess in 3 cases, tubal abscess in 5 cases, pelvic abscess in 6 cases. Conclusions Detailed history, comprehensive analysis of various clinical data is to improve the perimenopausal pelvic abscess correct diagnosis and treatment of the key.