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目的分析绝经后阴道出血的临床特征及病因,总结诊疗体会。方法对2009-01-2011-05诊治的214例绝经后阴道出血患者的临床和病理资料进行分析。结果绝经后阴道出血的主要原因为良性疾病占70.6%(151/214),其中以感染性疾病最多60.3%(91/151);非器质性病16.3%(35/214);恶性肿瘤占13.1%(28/214)。结论感染性疾病是引起绝经后出血的主要原因,绝经年限10a以上、子宫内膜厚度明显增大患者的恶性肿瘤发病率大大增加,应引起临床的足够重视,对绝经后出血患者及早查明病因,做到早诊断、早治疗。
Objective To analyze the clinical characteristics and etiology of postmenopausal vaginal bleeding and summarize the experience of diagnosis and treatment. Methods The clinical and pathological data of 214 cases of postmenopausal vaginal bleeding diagnosed from January 2009 to June 2011 were analyzed. Results The main causes of vaginal bleeding after menopause were 70.6% (151/214) of benign diseases, of which 60.3% (91/151) were infectious diseases, 16.3% (35/214) were non-organic diseases, and 13.1 % (28/214). Conclusions Infectious diseases are the main cause of postmenopausal bleeding. The incidence of malignant tumors in patients with menopause over 10a and endometrial thickness increased significantly, which should be paid enough attention in clinic. Early detection of etiology , Do early diagnosis, early treatment.