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目的:探讨引起绝经后阴道出血的原因、临床特点,指导临床正确诊断,提高诊断水平。方法:收集我院2011年8月～2013年1月诊治的60例绝经后阴道出血患者,进行妇科检查及B超检查、宫颈涂片检查。结果:本组感染性疾病共31例,占51.7%,其中子宫内膜炎4例,占6.7%,宫颈息肉病变5例,占8.3%,宫颈炎7例,占11.7%,老年性阴道炎15例,占25.0%;功能失调性子宫出血12例,占20.0%;子宫肌瘤9例,占15.0%;恶性肿瘤8例,占13.3%,其中卵巢肿瘤1例,占1.7%,宫颈癌2例,占3.3%,子宫内膜癌5例,占8.3%。结论:感染是导致绝经后阴道出血的主要原因,其次是功能失调性子宫出血,再次是子宫肌瘤,最后是恶性肿瘤,因此,面对绝经后阴道出血不要恐慌,误认为是肿瘤,需要进一步检查才能确诊。
Objective: To explore the causes of postmenopausal vaginal bleeding, clinical features, to guide clinical correct diagnosis and improve the diagnostic level. Methods: 60 cases of postmenopausal vaginal bleeding diagnosed and treated in our hospital from August 2011 to January 2013 were collected for gynecological examination, B-ultrasound examination and cervical smear examination. Results: The group of infectious diseases in 31 cases, accounting for 51.7%, of which 4 cases of endometritis, accounting for 6.7%, 5 cases of cervical polyposis, accounting for 8.3%, 7 cases of cervicitis, accounting for 11.7%, senile vaginitis 15 cases, accounting for 25.0%; dysfunctional uterine bleeding in 12 cases, accounting for 20.0%; 9 cases of uterine fibroids, accounting for 15.0%; 8 cases of malignant tumors, accounting for 13.3%, of which 1 case of ovarian tumors, accounting for 1.7% 2 cases, accounting for 3.3%, 5 cases of endometrial cancer, accounting for 8.3%. Conclusion: Infection is the main cause of vaginal bleeding after menopause, followed by dysfunctional uterine bleeding, and again the uterine fibroids, and finally malignant tumors, so do not panic in the face of postmenopausal vaginal bleeding, mistaken for a tumor, need further Check to confirm the diagnosis.