高原地区妇女绝经后阴道出血临床分析

Clinical analysis on postmenopausal vaginal bleeding of women in plateau areas

目的:探讨高原地区妇女绝经后阴道出血的相关因素。方法:对291例绝经后阴道出血患者的临床资料进行分析。结果:生殖系统炎症52.23%,功能失调性子宫出血20.28%,生殖系统肿瘤15.46%。生殖系统肿瘤中恶性肿瘤11.34%,并且随着年龄的增长,绝经年限的延长,其发病率呈增高趋势。高原地区各民族妇女恶性肿瘤发病率差异有统计学意义(P=10.8,P<0.01),藏族妇女恶性肿瘤发病率相对较高。结论:绝经后阴道出血的主要因素是生殖系统炎性病变,其次是功能失调性子宫出血、生殖系统肿瘤。藏族妇女绝经后阴道出血中,恶性肿瘤发病率相对较高,高原地区绝经后阴道出血发生恶性肿瘤仍占一定比例,医患双方不可忽视。

Objective： To explore the related factors of postmenopausal vaginal bleeding of women in plateau areas. Methods ： The clinical data of 291 cases with postmenopausal vaginal bleeding were analyzed. Results： The proportions of reproductive system inflammation, dysfunctional uterine bleeding, reproductive system tumors and malignant tumors of reproductive system were 52. 23%, 20. 28%, 15.46% and 11.34% , respectively, and the incidences increased with the age and the menopausal period extension. There was difference in the incidence of malignant tumors of reproductive system between different ethnic women in plateau areas （X^2 = 10. 8, P 〈 0.01 ） . Among them, the incidence of malignant tumors for Tibetan women was relatively higher. Conclusion： The major factor of postmenopausal vaginal bleeding of women is inflammatory lesions of reproductive system, the secondary are dysfunctional uterine bleeding and reproductive system tumors. The incidence of malignant tumors for Tibetan women is relatively higher . Therefore, the certain percentage of malignant tumors for postmenopausal vaginal bleeding of women in plateau areas can not be neglected by both doctors and patients.