目的　探讨绝经后子宫出血与病理类型的关系。方法　对 2 12例绝经一年以上的子宫出血病例进行宫颈刮片 ,宫颈活检 ,宫内膜诊刮 ,并分析其临床与病理关系。结果　其病理诊断分别是生殖器炎症占 46 .2 2 % ,功能性子宫出血占 2 7.36 % ,恶性肿瘤占 12 .74% ,其他良性病变占 13.6 8%。结论　引起子宫出血最多的原因是生殖器炎症。年老绝经年限愈长的妇女 ,恶性肿瘤的发病率愈高。 Objective To investigate the relationship between postmenopausal uterine bleeding and pathological types. Methods Cervical smear, cervical biopsy and endometrial curettage were performed on 212 cases of uterine bleeding over one year after menopause. The clinical and pathological relations were analyzed. Results The pathological diagnosis was genital inflammation accounted for 46.22%, functional uterine bleeding accounted for 2 7.36%, malignant tumors accounted for 12.74%, other benign lesions accounted for 13.6 8%. Conclusion The most common cause of uterine bleeding is genital inflammation. The older the women with menopause, the higher the incidence of malignant tumors.