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探讨绝经妇女阴道流血的病因和诊断。对100例绝经后阴道流血患者的临床资料进行回顾性分析。老年性阴道炎22例(占22%),宫颈炎21例(占21%)。功能失调性子宫出血15例(占15%),宫内节育器所致阴道流血7例(占7%),子宫内膜炎6例(占6%),子宫内膜息肉8例(占8%),子宫肌瘤11例(占11%),生殖器恶性肿瘤7例(占7%),其他3例(占3%),其中恶性肿瘤以子宫内膜癌为主。其他中1例为血小板减少性紫癜,2例为绝经后激素替代疗法使用不当所致。非器质性和良性疾病成为绝经后阴道流血主要原因,采用细胞学、B超(包括腹部和阴道彩超)、宫腔镜检查、配合活检是尽早明确诊断及时治疗的重要措施。
To investigate the etiology and diagnosis of vaginal bleeding in postmenopausal women. 100 cases of postmenopausal vaginal bleeding in patients with clinical data were analyzed retrospectively. 22 cases of senile vaginitis (22%), 21 cases of cervicitis (21%). 15 cases of dysfunctional uterine bleeding (15%), 7 cases of intrauterine device-induced vaginal bleeding (7%), 6 cases of endometritis (6%), 8 cases of endometrial polyps %), Uterine fibroids in 11 cases (11%), genital malignancies in 7 cases (7%) and the other 3 cases (3%), of which malignant tumors were mainly endometrial cancer. One of the other cases was thrombocytopenic purpura, and two cases were caused by inappropriate use of hormone replacement therapy after menopause. Non-organic and benign diseases become the main cause of post-menopausal vaginal bleeding. Cytology, B-ultrasound (including abdominal and vaginal ultrasound), hysteroscopy and biopsy are the important measures to diagnose and treat as soon as possible.