目的　探讨绝经后阴道出血的年龄、绝经年限和病理类型的关系。方法　分析 414例绝经后阴道出血并行诊断性刮宫及 (或 )子宫切除患者的临床和病理资料。结果　绝经后阴道出血的主要病理诊断分别是功能性子宫内膜 (31 6 4% )、恶性肿瘤 (16 91% )和功能失调性内膜 (16 42 % )。结论　年老、绝经年限愈长的妇女 ,恶性肿瘤发生率愈高。 Objective To investigate the relationship between the age of menopausal vaginal bleeding, menopause and pathological types. Methods The clinical and pathological data of 414 cases of postmenopausal vaginal bleeding complicated by diagnostic curettage and / or hysterectomy were analyzed. Results The main pathological diagnosis of postmenopausal vaginal bleeding were functional endometrium (31.6%), malignant tumor (1691%) and dysfunctional endometrium (1642%). Conclusion The older, older menopause women, the higher the incidence of malignant tumors.