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目的探讨绝经后阴道出血的临床特征。方法回顾性分析我院诊治的180例,绝经后阴道出血(PMB)患者的临床和病理资料。结果PMB原因良性疾病占66.6%(120/180),非器质性病22.2%(40/180);恶性肿瘤占11.1%(20/180)。恶性肿瘤发病年龄大、绝经年限长、出血持续时间长、子宫内膜厚度明显增厚。与良性疾病及非器质性病差异有统计学意义(P<0.05)。结论绝经后阴道出血的病因复杂,以良性病变较常见,但随着绝经年限延长,恶性肿瘤的发病率也随之增加。妇女绝经后一旦出现阴道出血,均应及时检查。
Objective To investigate the clinical features of postmenopausal vaginal bleeding. Methods The clinical and pathological data of 180 patients with postmenopausal vaginal bleeding (PMB) were retrospectively analyzed. Results The causes of PMB were 66.6% (120/180) for benign diseases, 22.2% (40/180) for nonstructural diseases and 11.1% (20/180) for malignant tumors. Malignant tumor onset age, long menopause, long duration of bleeding, endometrial thickness was significantly thicker. And benign disease and non-organic disease differences were statistically significant (P <0.05). Conclusions The etiology of postmenopausal vaginal bleeding is complicated, with benign lesions are more common, but with the prolonged menopause, the incidence of malignant tumors also increases. Women once vaginal bleeding after menopause, should be promptly checked.