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目的探讨绝经后子宫出血病因与绝经时间的关系。方法回顾性分析我站2008年1月～2011年12月妇科检查时子宫出血患者108例临床资料。结果功能失调性子宫出血88例,占81.48%;子宫内膜炎6例,占5.56%,其中4例为宫内节育器所致;子宫内膜癌10例,占9.26%;子宫内膜息肉4例,占3.7%。绝经1～5年中发生率最高,共48例,占44.44%;绝经10年内,子宫内膜癌占1.85%(2/108),绝经10年以上子宫内膜癌的比例升高为7.41%(8/108)。结论绝经后子宫出血患者以良性病变为主,随着患者绝经时间延长,子宫内膜癌的患病率升高。
Objective To investigate the relationship between postmenopausal uterine bleeding and menopause. Methods A retrospective analysis of our station from January 2008 to December 2011 gynecological examination of 108 cases of uterine bleeding in patients with clinical data. Results 88 cases of dysfunctional uterine bleeding, accounting for 81.48%; 6 cases of endometritis, accounting for 5.56%, of which 4 cases were caused by an intrauterine device; 10 cases of endometrial cancer, accounting for 9.26%; endometrial polyps 4 cases, accounting for 3.7%. The incidence of menopause in 1 to 5 years was the highest, with a total of 48 cases (44.44%). In the 10 years after menopause, endometrial cancer accounted for 1.85% (2/108), and the proportion of menopausal women with endometrial cancer over 10 years increased to 7.41% (8/108). Conclusions The majority of patients with postmenopausal uterine bleeding are benign and the prevalence of endometrial cancer increases with the prolongation of menopause.