目的探讨绝经后阴道出血的病因、病理及诊断方法。方法采用回顾性方法分析及总结2002年5月至2007年5月在我院妇产科门诊及住院诊治的286例绝经后阴道出血病例的病因、病理。结果因生殖器炎症引起的出血占60.83%(174例),功能性子宫出血占17.83%(51例),恶性肿瘤占16.08%(46例),其他占5.24%(15例)。结论生殖器炎症是绝经后阴道出血的最主要病因。 Objective To investigate the etiology, pathology and diagnosis of postmenopausal vaginal bleeding. Methods The retrospective method was used to analyze and summarize the etiology and pathology of 286 cases of postmenopausal vaginal bleeding in obstetrics and gynecology clinic and inpatient department from May 2002 to May 2007. Results The bleeding caused by genital inflammation accounted for 60.83% (174 cases), dysfunctional uterine bleeding accounted for 17.83% (51 cases), malignant tumors accounted for 16.08% (46 cases) and other accounted for 5.24% (15 cases). Conclusions Genital inflammation is the most important cause of vaginal bleeding after menopause.