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目的明确引起绝经后阴道出血病因及诊断方法。方法对 3 69例绝经后阴道出血的临床资料进行分析。结果 3 69例中恶性肿瘤5 9例 ,占 15 .98%。其中宫颈癌 2 6例 ,占恶性肿瘤的 44 .0 6% ;子宫内膜癌 2 1例 ,占 3 5 .5 9% ;卵巢癌 12例 ,占 2 0 .3 3 % ;检出良性病变3 10例 ,占 84.0 2 %。患者年龄越大 (≥ 60岁 ) ,绝经时间越长 (≥ 10年 ) ,恶性肿瘤发生率愈高。结论加强保健 ,对绝经后阴道出血妇女积极寻找病因 ,做到早诊早治 ,可预防和减少恶性肿瘤发生。
Objective Clearly cause etiology and diagnosis of postmenopausal vaginal bleeding. Methods The clinical data of 3 69 cases of postmenopausal vaginal bleeding were analyzed. Results Among 399 cases, 59 cases were malignant tumors accounting for 15.98%. 26 cases of cervical cancer accounted for 44.0% of malignant tumors; 21 cases of endometrial cancer, accounting for 35.59%; ovarian cancer in 12 cases, accounting for 20.33%; detection of benign lesions 3 10 cases, accounting for 84.0 2%. Patients older (≥ 60 years), menopause longer (≥ 10 years), the higher the incidence of malignant tumors. Conclusions Strengthen health care, and actively look for the cause of vaginal bleeding in postmenopausal women so that early diagnosis and treatment can prevent and reduce the occurrence of malignant tumors.