绝经后阴道流血2448例临床分析

Post-menopause colporrhagia: Clinical analysis of 2448 cases

[目的]探讨绝经后阴道流血的病因,为早期发现妇科恶性肿瘤提供依据。[方法]对绝经后阴道流血2 448例患者的病因进行临床及病理分析。[结果]2 448例病人中,良性疾病2 103例,占85.91%;癌前期病变141例,占5.76%;恶性肿瘤204例,占8.33%。发病年龄越大,绝经年限越长,恶性肿瘤发病率越高。[结论]对绝经后阴道流血患者,要采取综合诊断措施,尽早明确诊断,及时治疗,防止恶变。

[Objective] To investigate the etiological factors of post-menopausal bleeding and the method to reduce the incidence rate of malignant tumor. [Methods] The etiology factors in 2448 post-menopausal bleeding patients were analyzed by clinic and pathological methods. [Results] Of the 2448 cases,there were 2103 cases of benign diseases,accounting for 85.91%,141 cases of precancerous lesion,accounting for 5.76% and 204 cases of malignant tumor,accounting for 8.33%.It was concluded that incidence rate of malignant tumor was increased with the increase in the age of onset and age of menopause. [Conclusion] For post-menopausal bleeding patients,it is obvious that comprehensive diagnosis should be made early with a view to ascertaining etiological factors,treating early and preventing malignant degeneration.