290例绝经后阴道出血患者的临床分析

The Clinical Analysis of 290 cases of Vaginal Bleeding on Postmenopausal Patients

目的:探讨妇女绝经后阴道出血的原因,以积累经验,更好的指导临床工作。方法:选取绝经后阴道出血患者,共290例,对其进行以发病原因为主的临床分析,探讨其相关性。结果:因炎症引起的绝经后阴道出血179例(61.72%),因功能性子宫出血引起的出血28例(9.67%),因恶性肿瘤引起的出血28例(9.67%)。本组中肿瘤患者共51例,其中良性肿瘤23例,占45.10%;恶性肿瘤28例,占54.90%,其中以子宫内膜癌发生率最高。绝经时间越长,恶性肿瘤的发生率越高。结论:炎症性疾病是引起绝经后出血的主要原因,绝经的时间越长,恶性肿瘤的发病率越高。对绝经后阴道出血的患者要应用常规妇科检查和必要的辅助检查以明确病因,早期治疗。

Objective： Explore the causes of vaginal bleeding in postmenopausal women. Methods ： Patients with postmenopansal vaginal bleeding, a total of 290 cases, Analysis the etiology and its relevance. Results ： Postmenopausal vaginal bleeding caused by inflammation, 179 cases （61.72%）, dysfunctional uterine bleeding caused by hemorrhage, 28 cases （9.67 % ）, bleeding caused by malignant tumors, 28 cases （9.67 % ）. In the 51 cases of tumor patients, 23 cases of benign tumor, accounting for 45.10% ; 28 cases of malignant tumor, accounting for 54.90%, of which the incidence of endometrial cancer is the highest. Conclusion： Inflammatory disease is the main reason for postmenopausal bleeding,the longer the time of postmenopause , the higher the incidence of malignant tumors.