绝经后阴道出血414例临床与病理分析

Clinical and Pathological Analysis of 414 Postmenopausal Vaginal Bleeding

目的 探讨绝经后阴道出血的年龄、绝经年限和病理类型的关系。方法 分析 414例绝经后阴道出血并行诊断性刮宫及 (或 )子宫切除患者的临床和病理资料。结果 绝经后阴道出血的主要病理诊断分别是功能性子宫内膜 (31 6 4% )、恶性肿瘤 (16 91% )和功能失调性内膜 (16 42 % )。结论 年老、绝经年限愈长的妇女 ,恶性肿瘤发生率愈高。

Objective To investigate the relationship between the age,duration of menopause and pathologic type in postmenopausal vaginal bleeding.Methods 414 cases of curettage and/or hysterectomy due to postmenopausal bleeding were diagnosed by pathological examination.Results The main causes of postmenopausal bleeding were as follows:functional endometrial bleeding(31.64%),malignant tumor(16.91%)and dysfunctional endometrial bleeding(16.42%).Conclusion The incidence of malignant tumor is higher in senile women with longer duration of menopause.