目的　分析引起绝经后阴道出血的病因及诊断方法。方法　对 4 6 8例绝经后阴道出血患者进行临床及病理分析。结果　因良性病变及非器质性疾病所引起的绝经后阴道出血占 71 2 % ,恶性肿瘤占 18 8%。患者出血时年龄大、绝经年限长 ,恶性肿瘤发生率高。结论　对绝经后阴道出血患者的诊断应注重常规的妇科检查和必要的辅助检查 ,以明确病因。早期治疗可以防止恶性肿瘤的发生。 Objective To analyze the etiology and diagnosis of postmenopausal vaginal bleeding. Methods Clinical and pathological analysis of 468 cases of postmenopausal vaginal bleeding were performed. The results of benign lesions and non-organic diseases caused by postmenopausal vaginal bleeding accounted for 71 2%, 18 8% of malignant tumors. Patients at the age of bleeding, long menopause, the high incidence of malignant tumors. Conclusion The diagnosis of postmenopausal vaginal bleeding patients should pay attention to the routine gynecological examination and the necessary auxiliary examination to clarify the cause. Early treatment can prevent the occurrence of malignant tumors.