目的探讨绝经后子宫出血的病因及宫内膜病理变化特点。方法对本院收治的２８３例绝经后子宫出血患者的临床资料进行分析，刮取宫内膜组织常规病理学检查。结果非器质性病变占４２５％，良性病变占３８１％，恶性病变占１９４％，后者在出血距绝经时间，就诊年龄，较前两项差异有显著性。结论对于绝经后子宫出血的妇女，年龄越高、出血距绝经时间越长，其患子宫恶性肿瘤可能性越大 Objective To investigate the etiology of postmenopausal uterine bleeding and pathological changes of endometrium. Methods The clinical data of 283 cases of postmenopausal uterine bleeding in our hospital were analyzed and routine pathological examination of endometrial tissue was taken. Results Non-organic lesions accounted for 42  5%, benign lesions accounted for 38  1%, malignant lesions accounted for 19  4%, the latter in the bleeding from menopausal time, the age of treatment, compared with the two before the difference was significant. Conclusions For women with postmenopausal uterine bleeding, the higher the age, the longer the bleeding from the menopause and the greater the likelihood of having uterine malignancies