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目的探析阴道不规则出血的病因、临床特点及临床诊断和治疗。方法选取2011年10月至2012年3月来我院就诊阴道不规则出血患者32例,对患者出血时间、类型及病史、病变进行病理分析。结果病理分析表明,导致阴道出血的因素比中,宫颈内膜炎最高,其次为宫颈息肉,绝经患者子宫内膜癌发生率较高;病因病史分析表明,引起阴道不规则出血因素比中,子宫器质性疾病最大;出血时间与量分析表明,绝经患者出血量远少于未绝经患者,绝经患者中癌变概率与绝经时间成正比。结论导致阴道不规则出血的因素较为复杂,以子宫器质性疾病为多;临床诊断时要注意患者是否绝经,并对其病因及病理类型予以重视。
Objective To investigate the etiology, clinical features, clinical diagnosis and treatment of irregular vaginal bleeding. Methods Thirty-two patients with irregular vaginal bleeding from our hospital from October 2011 to March 2012 were selected for pathological analysis of bleeding time, type, history, and pathology. Results Pathological analysis showed that the factors leading to vaginal bleeding than the endometritis highest, followed by cervical polyps, menopausal patients with higher incidence of endometrial cancer; etiology history analysis showed that causes irregular vaginal bleeding than in the uterus Organic disease maximum; bleeding time and amount of analysis shows that the amount of bleeding in menopausal patients is much less than in patients without menopause, the probability of cancer in menopausal patients is proportional to the time and menopause. Conclusions The factors leading to irregular vaginal bleeding are complex, and the uterine organic diseases are the most common ones. At the time of clinical diagnosis, we should pay attention to whether the patient is menopause and pay attention to its etiology and pathological types.