摘要
目的探讨绝经后阴道出血(PMB)的原因。方法回顾性分析2011年3月至2012年3月在成都市妇女儿童中心医院诊治的228例PMB患者的临床及病理资料,对其出血原因进行归纳总结。结果在228例PMB的原因中,良性病变占第1位,共208例(91.2%),恶性肿瘤引起的出血仅20例(8.77%);在良性病变中,生殖器炎症是主要原因130例(62.5%),其次为功能性子宫出血25例(11.0%),子宫内膜增生22例(9.6%),子宫肌瘤14例(6.1%),卵巢囊肿9例(3.9%),节育环出血8例(3.5%)。结论引起PMB的主要原因是良性病变中的炎症,恶性肿瘤的发生与首次出血年龄、绝经年限呈正相关,首次出血年龄越大、绝经时间越长,其发生恶性肿瘤的危险性越大。
Objective To explore the cause of postmenopausal bleeding （ PMB ）. Methods Retro- spective analysis on clinical and pathological data of 228 PMB cases was done, the causes of bleeding were summarized. Results Among the causes of the 228 PMB cases,benign lesions accounted for a total of 208 cases （91.2%） , only 20 cases were caused by malignant tumors （8.77 % ） ;among benign lesions, genital inflammation was the major cause of 130 cases（62.5% ） , followed by dysfunctional uterine bleeding in 25 cases （ 1 1. 0 % ） , eudomettlal kyperplasia in 22 cases （ 9.6% ）, uterine fibroids in 14 cases （6. 1% ） , ovarian cysts in 9 cases （3.9%）, IUD bleeding in 8 cases （ 3.5 % ）. Conclusion Inflammation in benign lesions is the main cause of PMB, malignant tumor onset is positively associated with first bleeding age and years since menopause, the older the first - time bleeding age and longer since menopause, the greater the risk of malig- nancy.
出处
《医学综述》
2013年第1期178-179,共2页
Medical Recapitulate
关键词
绝经后
阴道出血
炎症
恶性肿瘤
Postmenopausal
Vaginal bleeding
Inflammation
Malignant tumor
