绝经后阴道出血患者297例临床病理分析

Clinical pathological analysis on 297 cases with postmenopausal vaginal bleeding

目的：探讨绝经后阴道出血的临床病理特征和发病原因。方法：收治绝经后阴道出血患者297 例，对年龄、出血量、出血方式等因素进行分析。结果：恶性病变48 例，非恶性病变249 例，51～55 岁组病变发生率最高，非恶性病变患者的绝经时间明显长于恶性病变患者；子宫内膜厚度明显更薄(P＜0.05)。结论：必须对绝经后阴道流血的患者及时、有效地诊断，从而查找阴道出血的因素，这是有效治疗的基本前提条件。

Objective:To investigate the clinical and pathological characteristics of postmenopausal vaginal bleeding and itspathogenesis.Methods:297 cases with postmenopausal vaginal bleeding were selected,then we analyzed their age,the amount ofbleeding and bleeding pattern.Results:48 cases of malignant lesions,249 cases of non malignant lesions,the highest incidence oflesions were aged 51～55 years old;postmenopausal period in patients with non malignant lesions were significantly longer thanthat in patients with malignant lesions;the endometrial thickness was significantly thinner than in patients with malignantlesions(P<0.05).Conclusion:It is necessary to diagnosis of postmenopausal vaginal bleeding timely and effective,so as to find outthe factors of vaginal bleeding,which is the basic prerequisite for effective treatment.