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目的探讨绝经后阴道出血的病因及诊断方法。方法分析1128例绝经后阴道出血病人的临床及病理资料。结果绝经后阴道出血病人中,生殖器官炎症700例,占62.06%;功能性子宫出血143例,占12.68%;节育环引起出血135例,占11.97%;生殖器官恶性肿瘤78例,占6.91%。绝经时间超过15年的阴道出血患者恶性肿瘤的发病率增高。宫颈癌发病率占首位,为55.12%。结论绝经后阴道出血患者大部分为良性病变,年龄越大,绝经时间越长的阴道出血患者恶性肿瘤的发生率越高。所以健康检查、绝经后一年内取出节育环及取环后进行子宫内膜活检是非常必要的。
Objective To investigate the etiology and diagnosis of postmenopausal vaginal bleeding. Methods 1128 cases of postmenopausal vaginal bleeding in patients with clinical and pathological data. Results In postmenopausal vaginal bleeding patients, there were 700 cases of genital inflammation, accounting for 62.06%; 143 cases of functional uterine bleeding, accounting for 12.68%; 135 cases of bleeding caused by IUD, accounting for 11.97%; 78 cases of reproductive organ malignancies accounting for 6.91% . The incidence of malignant tumors in vaginal bleeding patients who have been in menopause for more than 15 years increases. The incidence of cervical cancer accounted for the first place, 55.12%. Conclusion Most postmenopausal vaginal bleeding patients with benign lesions, the older, the longer the menopause vaginal bleeding patients with higher incidence of malignant tumors. Therefore, the health examination, within one year after menopause removal of the birth control ring and take the ring after the endometrial biopsy is necessary.