Objective To investigate short-term and long-term effects of puncture and sclerotherapy introducted by transvaginal ultrasonography (TVS) in patients with pelvic endometriotic cysts.Methods A total of 50 cases with 53 pelvic endometriotic cysts were treated by puncture and sclerotherapy under TVS guiding and followed up within 5~7 years.Results The patients outcomes showed good recovery 35 in cases,obvious effects 11 in cases ,seight effects 3 in cases and no effects 4 in cases.The cure rate was 66.0% and the total curative rate was 92.5%.Conclusions The method proved a significant effect not only in short-term but also in long-term.