绝经后阴道出血98例分析

Analysis on Postmenopausal Vaginal Bleeding in 98 Cases

目的：了解自然绝经后妇女阴道出血病因、病理。方法：选择2003年1月～2005年12月在复旦大学附属中山医院妇科住院和门诊就诊、以绝经后阴道出血为主诉的患者98例。分为两组,Ⅰ组56例,绝经1年以上5年以下；Ⅱ组42例,绝经5年以上。观察两组患者引起阴道出血的原因。结果：Ⅰ组56例患者,引起阴道出血原因：良性疾患50例,占89.3%；恶性肿瘤6例,占10.7%。Ⅱ组42例患者,引起阴道出血原因：良性疾患27例,占64.3%；恶性肿瘤15例,占35.7%。两组结果经x^2检验示有显著差异P＜0.05。结论：绝经后阴道出血,以良性疾患为主要原因,绝经时间越长,恶性肿瘤发生机率越大。

Objective：To investigate the pathogenesis and pathology of postmenopausal vaginal bleeding. Methods： A total of 98 women with postmenopausal vaginal bleeding were divided into two groups： Groups Ⅰ 56 women with menopause 1 to 5 years, Group Ⅱ 42 patients after menopause at least 5 years. The causes of the vaginal bleeding were compared between the two groups. Results： In group Ⅰ, 50 cases （89.3%） were benign diseases, and 6 （10. 7%） malignant tumors. In Group Ⅱ, 27 cases （64. 3%） were benign disease, and 15 （35.7%） were malignant tumor. The difference between the two groups was significant （χ^2 text, P〈0. 05）. C.onelosion： The main causes of postmenopausal vaginal bleeding ware benign diseases. The incidence of malignant tumor is higher in senile women with long time after menopause.