【摘要】 目的 :研究绝经后阴道出血的原因及诊断性刮宫的价值。方法 :回顾性分析 1992年 7月至 1999年 2月我院妇科收治的绝经后出血病人 2 4 2例的临床资料。结果 :引起出血的首位原因是萎缩性子宫内膜 ,占 33.4 7% ,其次是功能性子宫出血 ,占 2 8.5 1% ,第三位为子宫内膜炎 ,占 19.83% ,第四位为恶性肿瘤 ,占 7.4 4% ,第五位为宫腔内占位性病变 (包括子宫内膜息肉和黏膜下肌瘤 ) ,占 6 .6 1%。结论 :绝经后阴道出血的原因以良性子宫病变占绝大多数 ,但随着绝经年限的延长 ,恶性肿瘤的发病率有上升趋势。诊断性刮宫仍是诊断内膜病变的首选方法更多还原

【Abstract】 Objective: To investigate the causes of postmenopausal vagina bleeding and the value of dilation and curettage. Methods: A retrospective analysis was done on 242 cases of postmenopausal uterine bleeding in our hospital of obstetrics and gynecology from July 1992 to February 1999. Results: The first reason of uterine bleeding was atrophied endometrium, it was found in 33.4% of patients. The second reason was functional uterine bleeding (28.51%), the third reason was endometritis(19.83%), the forth reason was malignant tumor(7.44%),the fifth reason was uterus disease include polypus of endometrium and leiomyoma in uteri (6.61). Conclusions: Benign lesions had been detected in most of the patients with postmenopausal vagina bleeding .The probability of cancer underlying cause increased with longer duration of menopause. The first method of diagnostic eudiometrical disease is dilation and curettage.更多还原