绝经后阴道出血的临床原因及病理分析

The clinical causes and pathological analysis of postmenopausal vaginal bleeding

目的探讨绝经后阴道出血患者的临床原因及病理分析。方法回顾性分析我院423例绝经后阴道出血患者的临床资料,并分析不同年龄、出血量、出血方式、绝经时间及B超下子宫内膜厚度等患者中恶性病变的发生率。结果非恶性病变和恶性病变患者的出血量及出血方式差异无统计学意义(P>0.05),而不同年龄、绝经时间及B超下子宫内膜厚度的恶性病变率差异有统计学意义(P<0.05)。结论绝经后阴道出血患者中非恶性病变占多数,年龄>55岁、绝经时间>5年、B超下子宫内膜厚度>4 mm是绝经后阴道出血恶性病变的高危因素。

Objective To investigate the causes and analysis of postmenopausal vaginal bleeding. Methods A retrospective analysis the data of 423 cases of patients with postmenopausal vaginal bleeding was done. The incidence of malignant lesions in different age, the volume of bleeding, bleeding types, menopause time, and the B-postmenopausal endometrial thickness were analyzed. Results Non-malignant lesions and malignant lesions in patients with bleeding and bleeding types had no difference （P 〉 0.05）; Rate of malignant lesions in different age, menopause, and B-endometrial thickness were sig- nificantly different （P 〈 0.05）. Conclusion Most of patients with postmenopausal vaginal bleeding were non-malignant le- sions, and age 〉55 years of age, menopause 〉5 years, B-endometrial thickness 〉4 mm are the risk factors for malignant lesions of postmenopausal vaginal bleeding.