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目的分析引绝经后阴道出血的病因及诊断方法。方法对401例绝经后阴道出血的患者进行临床及病理分析。结果良性疾病引起出血占51.12%,非器质性疾病占31.17%,恶性肿瘤占17.71%。子宫内膜病理检查:破碎宫内膜和经期内膜45例,增生反应54例,萎缩反应12例及分泌反应14例。亚性肿瘤以宫颈癌和宫体癌为主。患者出血年龄>59岁,绝经>10年及子宫宫腔深度>8cm者,恶性肿瘤发生率高。结论对绝经后阴道出血患者的诊断应重视常规妇科检查和必要的辅助检查以明确病因,做到早诊断、早治疗,阻断恶性肿瘤发生。
Objective To analyze the etiology and diagnosis of vaginal bleeding after menopause. Methods 401 cases of postmenopausal vaginal bleeding in patients with clinical and pathological analysis. Results Benign diseases caused by bleeding accounted for 51.12%, non-organic diseases accounted for 31.17%, malignant tumors accounted for 17.71%. Endometrial biopsy: broken endometrium and menstrual endometrial 45 cases, 54 cases of proliferative reaction, 12 cases of atrophy and secretory reaction in 14 cases. Asian and cervical cancer and palace cancer-based. Patients aged 59 years of age, menopause> 10 years and uterine uterine cavity depth> 8cm, the incidence of malignant tumors. Conclusion The diagnosis of postmenopausal vaginal bleeding patients should pay attention to the routine gynecological examination and the necessary auxiliary examination to clarify the cause, so early diagnosis, early treatment, blocking the occurrence of malignant tumors.