目的探讨和田地区绝经后子宫出血的原因。方法回顾分析了38例绝经后子宫出血患者的临床及病理资料。结果 38例绝经后阴道出血的原因以宫颈炎最常见占36.8%,恶性肿瘤和子宫内膜炎分别为18.4%和13.2%。子宫内膜厚度、发病年龄和绝经年限与恶性肿瘤引发的子宫出血相关。结论引起绝经后子宫出血大部分是良性病变,其次为恶性肿瘤。 Objective To investigate the causes of postmenopausal uterine bleeding in Hetian area. Methods Retrospective analysis of 38 cases of postmenopausal uterine bleeding in patients with clinical and pathological data. Results 38 cases of postmenopausal vaginal bleeding causes the most common cervicitis accounted for 36.8%, malignant tumors and endometritis were 18.4% and 13.2%. Endometrial thickness, age of onset, and menopause are associated with malignant uterine bleeding. Conclusions The majority of postmenopausal uterine bleeding is benign, followed by malignant tumors.