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目的探讨绝经后阴道出血的病理表现及病因。方法选取我院收治的64例绝经后阴道出血患者作为研究对象,通过进行分段诊刮、分泌物涂片病理检查,并与临床资料相结合,对临床症状、病理分型进行统计分析。结果良性病变48例,恶性病变16例。在良性病变中,以炎性病变居多,共37例,检出率为57.81%;在检出的16例恶性病变中,以子宫内膜癌的检出率最高(10.94%)。结论绝经后妇女发生的阴道出血主要是由炎性病变所致,在临床诊疗中,应根据病理标本、分段诊刮结果结合临床资料,制订相应的治疗方案。
Objective To investigate the pathological manifestation and etiology of postmenopausal vaginal bleeding. Methods Sixty-four patients with postmenopausal vaginal bleeding admitted to our hospital were enrolled in this study. The clinical symptoms and histopathological types were analyzed statistically by segmented curettage and secretions smear pathology combined with clinical data. 48 cases of benign lesions, 16 cases of malignant lesions. Among the benign lesions, most of the inflammatory lesions were found in 37 cases, the detection rate was 57.81%. Among the 16 cases of malignant lesions detected, the detection rate of endometrial carcinoma was the highest (10.94%). Conclusions Vaginal bleeding in postmenopausal women is mainly caused by inflammatory lesions. In clinical diagnosis and treatment, the corresponding treatment plans should be formulated according to the results of pathological specimens and sub-curettage combined with clinical data.