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目的分析与探讨妇女绝经后阴道出血的原因,以更好的指导临床工作。方法对289例妇女绝经后阴道出血患者进行以发病原因为主的回顾性临床分析。结果因炎症引起的229例绝经后阴道出(79.29%),因功能性子宫出血引起的出血28例(9.69%),因恶性肿瘤引起的出血32例(11.07%)。本组中肿瘤患者共49例,其中良性肿瘤17例,占34.69%;恶性肿瘤32例,占65.31%,其中以子宫内膜癌发生率最高。绝经时间越长,恶性肿瘤的发生率越高。结论炎症性疾病是引起绝经后阴道出血的主要原因,绝经的时间越长,恶性肿瘤的发病率越高。对绝经后阴道出血的患者要应用常规妇科检查和必要的辅助检查以明确病因,早期治疗。
Objective To analyze and discuss the causes of postmenopausal vaginal bleeding in women so as to better guide the clinical work. Methods Retrospective clinical analysis of 289 cases of postmenopausal vaginal bleeding in patients with the main cause of the disease. Results 229 cases of postmenopausal vaginal discharge (79.29%) caused by inflammation, 28 cases (9.69%) of bleeding due to functional uterine bleeding and 32 cases (11.07%) of malignant tumor-induced bleeding. Tumor patients in this group a total of 49 cases, of which 17 cases of benign tumors, accounting for 34.69%; 32 cases of malignant tumors, accounting for 65.31%, of which the highest incidence of endometrial cancer. The longer menopause, the higher the incidence of malignant tumors. Conclusion Inflammatory disease is the main cause of vaginal bleeding after menopause. The longer the menopause, the higher the incidence of malignant tumors. Postmenopausal vaginal bleeding patients to apply routine gynecological examination and the necessary auxiliary examination to identify the cause, early treatment.