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目的:探讨妇女绝经后发生子宫出血的临床病理特点,分析出血原因与恶性肿瘤的关系。方法:对2009～2011年妇科门诊及住院妇女绝经后子宫出血的诊刮标本223例进行病理分析。结果:绝经后子宫出血的病理诊断分别为子宫的非器质性病变79例,占35.43%;子宫的良性病变121例,占54.26%;恶性肿瘤23例,占10.31%。结论:绝经后子宫出血由良性和非器质性疾病所致居首位,但恶性肿瘤占一定比例且发病率随绝经时间增长而增高。提示临床发现绝经后子宫出血病例应有足够的重视。
Objective: To investigate the clinicopathological features of women with postpartum uterine bleeding and analyze the relationship between hemorrhage and malignant tumors. Methods: Totally 223 cases of gynecological bleeding in gynecological outpatients and inpatients from 2009 to 2011 were analyzed by pathology. Results: Pathological diagnosis of post-menopausal uterine bleeding were non-organic uterine lesions of 79 cases, accounting for 35.43%; benign lesions of the uterus in 121 cases, accounting for 54.26%; 23 cases of malignant tumors, accounting for 10.31%. Conclusions: Uterine bleeding in postmenopausal women is the highest among benign and non-organic diseases, but the proportion of malignant tumors accounts for a certain proportion and the incidence increases with the increase of menopause time. Prompt clinical found that cases of uterine bleeding after menopause should have enough attention.