【摘要】 目的:探讨以绝经后阴道出血为首发症状的生殖道恶性肿瘤的临床特点。方法:回顾性分析我院诊治的285例绝经后阴道出血患者的临床和病理资料。结果:绝经后阴道出血的原因以感染性疾病最多,占58.2%,其次为功能性子宫出血,占28.8%,恶性肿瘤占11.2%。恶性肿瘤患者与非恶性疾病患者的绝经年限、持续阴道出血时间、肿瘤内部动脉血流阻力指数(resistance index,RI)间差别有显著意义(P<0.05)。结论:绝经年限长(>10年)、阴道出血时间长(>14天)、肿瘤内部动脉血流RI低(<0.4)的绝经后阴道出血患者,患恶性肿瘤可能性较大。更多还原

【Abstract】 Ob ective:To explore the clinical trait of genital tract malignant tumor,of which the first symptom is postmenopausal vaginal bleeding. Methods: The clinical and pathologic data of 285 patients with postmenopausal vaginal bleeding in our hospital were analyzed retro- spectively. Results: The causes of postmenopausal vaginal bleeding were inflammational diseases (58.2%) ,functional uterine bleeding (28.8%) and malignant tumors(1 1.2%) . There were significant differences in the term of menopause,the times of vaginal bleeding,arterial blood resistance index of tumor in patients of malignant diseases and benign ones ( P < 0.05) . Concluslons The incidence of malignant tumor was higher in postmenopausal vaginal bleeding women with long term of menopause( > 10 years) and times of vaginal bleeding( > 14 days) low arterial blood resistance index of tumor( < 0.4) .更多还原