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目的探讨绝经后阴道流血的病因,提高对绝经后阴道流血的重视程度。方法回顾性分析和总结2005-2006年诊治的以绝经后阴道流血为主要表现患者的年龄、发病时间、病理性质、治疗等临床资料。结果绝经后阴道流血患者193例中阴道炎61例占31.61%,宫颈炎26例占1 3.47%,子宫内膜炎13例占6.73%,子宫内膜增生27例占13.99%,子宫肌瘤12例占6.22%,宫内节育器6例占3.11%,恶性肿瘤22例(宫颈癌8例,子宫内膜癌13例,输卵管癌1例)占11.40%。并发现恶性肿瘤与绝经年限、阴道流血时间的长短有关。结论绝经后阴道流血以炎症为主,但随着绝经年龄的增大,恶性肿瘤的罹患率越来越高。
Objective To investigate the etiology of vaginal bleeding after menopause and improve the importance of vaginal bleeding after menopause. Methods Retrospectively analyze and summarize the clinical data such as age, onset time, pathological character and treatment of patients with vaginal bleeding in 2005-2006. Results 193 cases of postmenopausal vaginal bleeding in 61 cases of vaginitis accounted for 31.61%, 26 cases of cervicitis accounted for 1347%, endometritis in 13 cases accounted for 6.73%, 27 cases of endometrial hyperplasia accounted for 13.99%, uterine fibroids 12 Cases accounted for 6.22%, 6 cases of intrauterine device accounted for 3.11%, 22 cases of malignant tumors (8 cases of cervical cancer, endometrial cancer in 13 cases, 1 case of fallopian tube) accounted for 11.40%. And found that malignant tumors and menopause, vaginal bleeding time related to the length. Conclusions Postmenopausal vaginal bleeding is predominantly inflammatory, but with the increase of menopause age, the incidence of malignant tumors is getting higher and higher.