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绝经后阴道流血是老年妇女为之恐慌的疾病,也是常见病症之一.本文收集我院1994年6月至1996年6月我院诊治的176例绝经后阴道流血病例对其病因及诊断进行探讨。1 一般资料患者年龄46～74岁,平均56岁。绝经年龄43～57岁,平均51.2岁。从绝经到第一次阴道出血时间最短为一年半,最长为28年,平均9年。2 宫颈刮片细胞学检查常规行宫颈刮片细胞学检查,应用五级分类法。结果:Ⅰ级15例,Ⅱ级19例,Ⅲ-Ⅳ级6例,在诊断随访中,19例的Ⅱ级中经抗炎治疗复查涂片18例为Ⅰ级,1例无变化,证实为宫颈轻度不典型增生:Ⅲ-Ⅳ级6例,其中2例为子宫内膜癌,3例为中度不典型增生,1例为宫颈鳞状细胞癌。3 阴道镜检查对宫颈刮片可疑或检查阴道宫颈有病变者行阴道镜检查。本组36例,阴道镜正常
Vaginal bleeding after menopause is the elderly women panic disease, is also one of the common diseases.This article collected from June 1994 to June 1996 our hospital diagnosis and treatment of 176 cases of postmenopausal vaginal bleeding cases of etiology and diagnosis . 1 General information Patients aged 46 to 74 years, mean 56 years. Menopause age of 43 to 57 years, mean 51.2 years. From menopause to the first vaginal bleeding for a minimum of one and a half years, up to 28 years, an average of 9 years. 2 cervical smear cytology routine cervical smear cytology, the use of five-level classification. Results: There were 15 cases of grade Ⅰ, 19 cases of grade Ⅱ and 6 cases of grade Ⅲ-Ⅳ. During the diagnosis and follow-up, 18 cases were grade Ⅰ in grade Ⅱ of 19 cases with grade Ⅰ and no change in 1 case Cervical mild dysplasia: Ⅲ-Ⅳ grade in 6 cases, of which 2 cases of endometrial cancer, 3 cases of moderate dysplasia, 1 case of cervical squamous cell carcinoma. 3 colposcopy Pap smear cervical vaginal lesions or vaginal examination. The group of 36 cases, colposcopy normal