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本文对285例PMB临床分析显示:生殖道炎症共211例,占74.04%居首位,其中阴道炎115例,宫颈炎87例,宫内膜及肌炎9例;绝经初宫颈炎为首发,以后阴道炎居多,绝经15a以后炎症的发病率明显下降。其次,功血44例,占15.44%。绝经后性激素的影响尚存在一段时间,随着绝经时间的延长,孕激素和雌激素影响,萎缩性内膜炎依次消失。恶性肿瘤30例,占10.53%,主要为宫颈癌和宫体癌。随绝经时间的延长,恶性肿瘤呈明显上升趋势,绝经10~20a达66.67%。提示:绝经后妇女应定期使用孕激素,根据有无宫内膜撤药性出血,判断体内雌激素的影响及程度。适当补充雌激素,改变阴道内环境,预防阴道炎并保护性功能。一旦发生PMB应积极进行排癌检查。
In this paper, 285 cases of PMB clinical analysis showed that: reproductive tract inflammation in 211 cases, accounting for 74.04% of the first place, of which 115 cases of vaginitis, cervicitis 87 cases, 9 cases of endometrial and myositis; Hair, mostly vaginitis after menopause 15a significantly reduced the incidence of inflammation. Second, 44 cases of blood, accounting for 15.44%. Postmenopausal sex hormones affect the existence of a period of time, with the extension of menopause, progesterone and estrogen, atrophic endometritis in turn disappear. 30 cases of malignant tumors, accounting for 10.53%, mainly cervical cancer and uterine cancer. With the extension of menopause, malignant tumors showed a clear upward trend, menopausal 10 ~ 20a up to 66.67%. Tip: Postmenopausal women should regularly use progesterone, according to the presence of endometrial withdrawal bleeding, to determine the extent and effect of estrogen in vivo. Appropriate to add estrogen, change the vaginal environment, prevent vaginitis and protect sexual function. Once the occurrence of PMB should actively conduct cancer screening.