论文部分内容阅读
目的 探讨绝经后阴道出血的病因和诊断。方法 对2000年1月至2003年12月经我院妇科活检或手术后病理证实的绝经后阴道出血548例患者的临床资料进行回顾性分析。结果 按病理分类:良性疾病引起的绝经后出血占70 .3%,非器质性疾病占18 .2%,恶性疾病占11. 5%。良性疾病中以慢性宫颈炎最常见,恶性疾病以宫颈癌和子宫内膜癌为主。结论 绝经后阴道出血的首位病因为良性疾病,其次是非器质性疾病,恶性疾病为第三位。绝经时间长的阴道出血,恶性肿瘤的发生率明显增高。对绝经后阴道出血应引起重视,常规行妇科检查结合必要的辅助检查可明确诊断。
Objective To investigate the etiology and diagnosis of postmenopausal vaginal bleeding. Methods The clinical data of 548 cases of postmenopausal vaginal bleeding confirmed by gynecological biopsy or postoperative pathology in our hospital from January 2000 to December 2003 were analyzed retrospectively. Results According to the pathological classification, benign diseases caused postmenopausal bleeding accounted for 70.3%, non-organic diseases accounted for 18.2%, malignant diseases accounted for 11.5%. Chronic cervicitis in benign diseases is the most common, malignant disease of cervical cancer and endometrial cancer-based. Conclusions The first cause of vaginal bleeding after menopause is benign disease, followed by non-organic disease and the third is malignant disease. Long postmenopausal vaginal bleeding, the incidence of malignant tumors was significantly higher. Postmenopausal vaginal bleeding should be taken seriously, routine gynecological examination with the necessary auxiliary examination can confirm the diagnosis.