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目的绝经后阴道出血临床分析。方法 2008年4月至2012年4月诊治的绝经后阴道出血320例,进行常规妇科检查、B超检查、阴道分泌物涂片检查,阴道镜检查、宫颈细胞学检查(TCT),宫腔镜下行分段诊刮、宫颈活检,了解造成绝经后阴道出血原发疾病及所占比例。结果 320例绝经后阴道出血经系统检查后明确诊断,其中良性疾病227例,占总病例数70.93%;非器质性疾病58例,占总病例数18.12%;恶性肿瘤20例,占总病例数6.25%。结论对于绝经后阴道出血应早期发现,早期诊断,早期治疗;对绝经后妇女定期进行妇科检查,了解阴道、宫颈、子宫、子宫内膜、卵巢情况,早期发现病变,防范疾病变化。
Clinical Analysis of Postmenopausal Vaginal Bleeding. Methods A total of 320 cases of postmenopausal bleeding were diagnosed and treated from April 2008 to April 2012. The patients underwent routine gynecological examination, B ultrasound examination, vaginal smear examination, colposcopy, cervical cytology (TCT), hysteroscopy Down sub-curettage, cervical biopsy, to understand the cause of postmenopausal vaginal bleeding and the proportion of the primary disease. Results 320 cases of postmenopausal vaginal bleeding confirmed by systematic examination, of which 227 cases of benign diseases, the total number of cases accounted for 70.93%; 58 cases of non-organic disease, the total number of cases 18.12%; 20 cases of malignant tumors, the total cases Number 6.25%. Conclusion Postmenopausal vaginal bleeding should be early detection, early diagnosis, early treatment; regular postmenopausal women gynecological examination to understand the vagina, cervix, uterus, endometrium, ovarian conditions, early detection of lesions, prevent disease changes.