An ultrasonic probe coupling assembly (1) and an ultrasonic probe mechanism are disclosed. The ultrasonic probe coupling assembly (1) includes a probe sleeve (11) and a solid-state coupling member (12). The probe sleeve (11) is sleeved on an ultrasonic probe (2). The solid-state coupling member (12) is fixed in the probe sleeve (11). One side of the solid-state coupling member (12) is located in the probe sleeve (11) for fitting to the ultrasonic probe (2), and the other side is protruded from the probe sleeve (11) to be in contact with the skin. The ultrasonic probe mechanism includes the ultrasonic probe coupling assembly (1) and the ultrasonic probe (2).