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目的探讨绝经后阴道出血的病因及诊治措施。方法回顾分析2004～2010年诊治的210例患者的临床资料。结果生殖器官炎症125例,其中阴道炎70例,慢性宫颈炎35例,子宫内膜炎20例;功能性子宫出血48例,其中萎缩性子宫内膜24例,子宫内膜增生过长15例,增生期子宫内膜6例,分泌期子宫内膜3例;恶性肿瘤17例;其他良性疾病20例。结论及时准确地作出病因诊断是正确处理绝经后阴道出血的前提,临床医师应详细询问病史,全面进行妇科检查,加强妇女绝经期保健工作,大力普及医学科学知识,提高广大妇女的自我保健意识,使妇女对绝经后阴道出血保持高度警惕。总之,目前临床对恶性肿瘤的预防在于早期诊治,临床医师一定要警惕绝经后阴道出血的现象,不可对绝经后阴道出血疏忽大意,以防绝经后出血引起的感染。
Objective To investigate the etiology and diagnosis and treatment of postmenopausal vaginal bleeding. Methods The clinical data of 210 patients diagnosed and treated from 2004 to 2010 were retrospectively analyzed. Results Genital inflammation in 125 cases, of which 70 cases of vaginitis, chronic cervicitis in 35 cases, 20 cases of endometritis; functional uterine bleeding in 48 cases, including 24 cases of atrophic endometrium, endometrial hyperplasia in 15 cases , 6 cases of proliferative endometrium, 3 cases of secretory endometrium, 17 cases of malignant tumors and 20 cases of other benign diseases. Conclusions The timely and accurate diagnosis of etiology is the prerequisite for correct treatment of vaginal bleeding in postmenopausal women. Clinicians should ask history, conduct comprehensive gynecological examinations, strengthen women ’s health during menopause, greatly popularize medical scientific knowledge and enhance women’ s self - care awareness, Keep women alert to vaginal bleeding after menopause. In short, the current clinical prevention of malignant tumors is early diagnosis and treatment, clinicians must be alert to the phenomenon of postmenopausal vaginal bleeding, vaginal bleeding after menopause can not negligently prevent bleeding-induced infection after menopause.