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目的探讨绝经后阴道出血的病因以及与恶性肿瘤的关系。方法对2005年1月-2006年1月300例绝经后阴道出血患者的临床及病理资料进行分析。结果阴道炎80例,慢性宫颈炎59例,子宫内膜息肉43例,功血58例,恶性肿瘤38例,其他良性病变22例。结论生殖器炎症、功能失调性子宫出血等良性病变是绝经后阴道出血的主要原因。随着年龄增长,绝经年限的增加,绝经后阴道出血中恶性肿瘤的发病率明显增加。
Objective To investigate the etiology of postmenopausal vaginal bleeding and its relationship with malignant tumors. Methods From January 2005 to January 2006 300 cases of postmenopausal vaginal bleeding in patients with clinical and pathological data were analyzed. Results 80 cases of vaginitis, 59 cases of chronic cervicitis, endometrial polyps 43 cases, 58 cases of dysfunctional uterine bleeding, 38 cases of malignant tumors, 22 cases of other benign lesions. Conclusions Benign lesions such as genital inflammation and dysfunctional uterine bleeding are the main causes of vaginal bleeding after menopause. With age, increased menopause, postmenopausal vaginal bleeding in the incidence of malignant tumors increased significantly.