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目的为了分析绝经后阴道出血患者的临床原因及病理。方法总结在本院治疗的绝经后阴道出血患者100例资料,按照绝经时长分组:绝经时长<1年者20例为一组,1～5年者24例为二组,5～10年者30例为三组,>10年者26例为四组,所有患者均经常规妇科检查及实验室病理学检查,统计妇科恶性肿瘤发生情况,最后通过统计学差异性比较,总结绝经时长与阴道出血后恶性肿瘤发生率之间的规律。结果一组恶性肿瘤者1例(5%),二组恶性肿瘤者2例(8.3%),三组恶性肿瘤者3例(10%),四组恶性肿瘤者12例(46.2%),统计学t检验结果表明,第四组数据与其他三组结果差异存在统计学意义(P<0.05)。结论绝经后阴道出血患者恶性肿瘤发生率随着绝经年限增加而增加,绝经年限大于10年时,阴道出血患者恶性肿瘤发生率显著增加。
Objective To analyze the clinical causes and pathology of postmenopausal vaginal bleeding patients. Methods The data of 100 cases of postmenopausal vaginal bleeding treated in our hospital were summarized according to the duration of menopause. Twenty patients with menopause <1 year were treated as one group, while those with 1-5 years were divided into two groups. Cases of three groups,> 10 years in 26 cases for the four groups, all patients were routine gynecological examination and laboratory pathology, statistics of gynecological malignancies, and finally statistical differences between the summary of menopausal duration and vaginal bleeding After the incidence of malignant tumors between the laws. Results A group of malignant tumors was found in 1 case (5%), two cases of malignant tumors in 2 cases (8.3%), three cases of malignant tumors in 3 cases (10%) and four groups of malignant tumors in 12 cases (46.2% The result of t test showed that there was a significant difference between the fourth group and the other three groups (P <0.05). Conclusions The incidence of malignant tumors in postmenopausal women with vaginal bleeding increases with the increase of menopause, and the incidence of malignant tumors in patients with vaginal bleeding is significantly increased when the menopause is more than 10 years.