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目的:通过了解生理性绝经后妇女的阴道出血的原因及其病理特点,进行临床探讨分析。方法:对在我科收治的以生理性绝经后阴道出血为主诉的52例患者,根据绝经年限分为2组,观察2组引起阴道出血的原因进行分析。结果:Ⅰ组引起阴道出血的原因,良性疾患13例(48.15%),功能性子宫出血10例(37.04%),恶性肿瘤4例(14.81%)。Ⅱ组引起阴道出血的原因;良性疾患7例(28%),功能性子宫出血8例(32%),恶性肿瘤10例(40%)。2组结果经x2检验,P<0.01,差异有极显著性。结论:引起绝经后阴道出血主要的原因是良性疾患和功能性子宫出血,绝经时间越长的阴道出血恶性肿瘤的发病率明显增多。
Objective: To understand the causes and pathological features of vaginal bleeding in physiologically postmenopausal women. Methods: Fifty-two patients who were treated mainly by vaginal bleeding after physiological menopause were divided into two groups according to the menopause period, and the causes of vaginal bleeding in the two groups were observed. Results: The causes of vaginal bleeding in group Ⅰ were: benign diseases in 13 cases (48.15%), functional uterine bleeding in 10 cases (37.04%) and malignant tumors in 4 cases (14.81%). The causes of vaginal bleeding in group Ⅱ were: benign disease in 7 cases (28%), functional uterine bleeding in 8 cases (32%) and malignant tumor in 10 cases (40%). Two groups of results by x2 test, P <0.01, the difference was significant. Conclusion: The main causes of postmenopausal vaginal bleeding are benign disorders and functional uterine bleeding. The incidence of vaginal bleeding malignancies increased significantly with menopause.