【摘要】 目的探讨绝经后阴道出血的病因和诊断。方法对2002年1月至2005年6月在深圳市人民医院诊治的376例绝经后阴道出血的患者进行回顾性分析。结果炎症患者176例(46.81%);功能性子宫出血患者85例(22.61%);肿瘤患者79例(21.01%):其中良性肿瘤23例(29.11%),恶性肿瘤56例(70.89%);宫内节育器17例(4.52%);其他19例(5.05%);绝经10年内恶性肿瘤21例,绝经10年以上,恶性肿瘤35例,两者相比,恶性肿瘤的发生率有显著性差异(P<0.01)。结论绝经后阴道出血的首要病因是炎症,其次是功血,肿瘤居第三位。绝经时限越长,恶性肿瘤的发病率越高。更多还原

【Abstract】 Objective To explore etiology and diagnosis of post-menopausal vaginal bleeding.Methods The data of 376 women with post-menopausal vaginal bleeding diagnosed and treated in our hospital from January 2002 to June 2005 were retrospectively analyzed.Results The vaginal bleeding of 176(46.81%) patients was due to inflammation.85(22.61%) patients suffered from dysfunctional uterine bleeding.79(21.01%) patients suffered from tumor,of them,23 of 79 patients(29.11%) suffered from benign tumors and rest 56 patients suffered from malignant tumors.17(4.52%) women had intrauterine contraceptive device(IUD);and rest 19(5.05%)women suffered from other diseases.21 patients suffered from malignant tumors within ten years after menopause,35 patients suffered from malignant tumors over ten years after menopause.There was a significant difference in incidence rate of malignant tumor between the two age groups(P<0.005).Conclusion The most common cause of post-menopausal vaginal bleeding is inflammation,the second cause is dysfunctional uterine bleeding,and the third one is tumor.The longer the time of post-menopause,the higher the incidence rate of malignant tumor.更多还原