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目的分析引起绝经后阴道出血 (PMB)的原因及诊断方法。方法回顾性分析 16 0例绝经后阴道出血患者临床资料。结果因良性疾患引起的出血占 81.2 5 % ,恶性肿瘤占 18.75 %。生殖道炎症 6 6例 (41.2 5 % ) ,子宫内膜增生过长 2 6例 (16 .2 5 % ) ,子宫内膜癌 2 2例 (13.75 % ) ,宫颈及内膜息肉 16例 (10 % ) ,宫颈上皮不典型增生 6例 (3.75 % ) ,卵巢恶性肿瘤 6例 (3.75 % ) ,卵巢良性肿瘤 16例(10 % ) ,宫颈癌 2例 (1.2 5 % )。结论对绝经后阴道出血患者的诊断应注重常规妇科检查和必要的实验室检查以明确病因。早期治疗可以阻止肿瘤发生
Objective To analyze the causes of postmenopausal vaginal bleeding (PMB) and its diagnosis. Methods The clinical data of 160 cases of postmenopausal vaginal bleeding were retrospectively analyzed. Results Bleeding caused by benign diseases accounted for 81.2%, malignant tumors accounted for 18.75%. 26 cases of reproductive tract inflammation (41.2%), 26 cases of prolonged endometrial hyperplasia (16.25%), 22 cases of endometrial cancer (13.75%), 16 cases of cervical and endometrial polyps ), Atypical hyperplasia of cervix in 6 cases (3.75%), ovarian cancer in 6 cases (3.75%), ovarian benign tumor in 16 cases (10%) and cervical cancer in 2 cases (12.5%). Conclusion The diagnosis of postmenopausal vaginal bleeding patients should focus on routine gynecological examination and the necessary laboratory tests to identify the cause. Early treatment can stop the tumor