绝经后阴道出血312例临床分析

CLINICAL ANALYSIS OF 312 CASES OF POSTMENOPAUSAL BLEEDING

目的：探讨绝经后阴道出血（PMB）与妇科恶性肿瘤的关系。方法：对312例PMB患者的临床资料进行回顾性分析。结果：312例PMB患者中，由恶性肿瘤引起的占28例（8．97％）；绝经年限越长，恶性肿瘤所占的比例越大，其中1例子宫内膜癌及3例功能失调性子宫出血有不规范使用雌激素病史。结论：与以往资料相比，PMB患者中恶性肿瘤所占的比例明显下降。绝经后应慎重使用外源性雌激素。

Objective To study the correlation between postmenopausal bleeding (PMB) and gynecological malignant tumor Methods The clinical data of 312 PMB cases were analyzed retrospectively. Results The PMB was caused by malignant tumors in 28 of the 312 cases (8. 97% ). The percentage of malignant tumor kepi rising along with the menopause lengthening. One case of endometrium carcinoma and three cases of dysfunctional uterine bleeding had irregular estrogen replacement history . Conclusion The incidence rate of malignant tumor in cases of PMB is obvious lower when compared with that in previous cases. Gynecologist must be cautious of the applicaation of essterogen to posmenopausal women.