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目的:探讨绝经后阴道出血的原因,绝经年限与诊断的关系。方法:回顾分析90例生理性绝经后1年以上阴道出血患者的临床及病理资料。结果:90例绝经后阴道出血患者中良性病变引起绝经后出血57例,占63.3%,非器质性疾病引起绝经后出血24例,占26.7%,恶性疾病9例,占10.0%,良性疾病中以老年性阴道炎最常见,恶性疾病中以子宫内膜癌和宫颈癌为主。结论:绝经后阴道出血患者中,生殖系统感染最多,阴道出血距绝经时间越长,恶性肿瘤发生的危险性越大。
Objective: To investigate the causes of postmenopausal vaginal bleeding, the relationship between menopause and diagnosis. Methods: The clinical and pathological data of 90 patients with vaginal bleeding more than one year after menopause were retrospectively analyzed. Results: Of the 90 patients with postmenopausal vaginal bleeding, benign lesions caused postmenopausal bleeding in 57 patients (63.3%), non-organic diseases caused by postmenopausal bleeding in 24 patients (26.7%), malignant disease in 9 patients (10.0%), benign diseases In the most common senile vaginitis, malignant disease to endometrial cancer and cervical cancer-based. Conclusion: Among the postmenopausal vaginal bleeding patients, the most reproductive system infection, vaginal bleeding from menopause longer, the greater the risk of malignant tumors.