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目的前瞻性研究门诊绝经后子宫出血的原因。方法对绝经后子宫出血患者行宫腔镜检查，对可疑病灶行活检术和（或）诊刮术，以病理结果作为病因诊断的的依据。结果７０例绝经后子宫出血患者的出血原因为：子宫内膜萎缩出血及子宫内膜炎共３２例（４５．７％）；子宫内膜增殖症１４例（２０％）；子宫内膜癌８例（１１．４％）；子宫内膜息肉８例（１１．４％）；其他原因８例（１１．４％）。结论子宫内膜萎缩出血及子宫内膜炎是绝经后子宫出血的主要原因，宫腔镜检查是绝经后子宫出血的可靠诊断方法。
Objective To prospectively study the causes of postmenopausal uterine bleeding in clinic. Methods Hysteroscopy was performed on postmenopausal women with uterine bleeding, and biopsy and / or curettage of suspicious lesions were performed. The pathological findings were used as the basis for diagnosis of the cause. Results The bleeding of 70 cases of postmenopausal uterine bleeding patients were: endometrial atrophy and endometritis in 32 cases (45.7%); endometrial hyperplasia in 14 cases (20%); endometrial cancer 8 Cases (11.4%); Endometrial polyps in 8 cases (11.4%); Other reasons in 8 cases (11.4%). Conclusion Endometrial atrophy and endometritis are the main causes of postmenopausal uterine bleeding. Hysteroscopy is a reliable diagnostic method of postmenopausal uterine bleeding.