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目的探讨绝经后阴道流血的病因及诊断方法。方法分析386例绝经后阴道流血患者的临床及病理资料。结果 386例绝经后阴道流血患者中,非器质性病变47例,占12.18%。良性病变288例,占74.61%。恶性病变51例,占13.21%。患者>60岁,流血距绝经时间>10年,子宫内膜厚度>7mm,恶性肿瘤发生率明显增高。结论绝经后阴道出血患者大部分是良性病变。年龄越大,出血距绝经时间越长,恶性肿瘤的发生率越高。
Objective To investigate the etiology and diagnosis of vaginal bleeding after menopause. Methods The clinical and pathological data of 386 postmenopausal vaginal bleeding patients were analyzed. Results 386 cases of postmenopausal vaginal bleeding in 47 cases of non-organic lesions, accounting for 12.18%. 288 cases of benign lesions, accounting for 74.61%. Malignant lesions in 51 cases, accounting for 13.21%. Patients> 60 years of age, bleeding from menopause> 10 years, endometrial thickness> 7mm, the incidence of malignant tumors was significantly higher. Conclusion Most postmenopausal vaginal bleeding patients are benign lesions. The older, bleeding from menopause longer, the higher the incidence of malignant tumors.