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目的评价175例绝经后阴道出血患者病理诊断结果与发病年龄、绝经年限、出血时间等相关因素的关系。方法回顾2010年6月~2011年6月在我院就诊的175例生理性绝经超过1年以上,出现不规则阴道出血、接触性阴道出血、白带带血丝的患者,分别给予阴道超声检查、宫颈液基细胞检查,阴道镜下活检、宫腔镜下活检,取得标本,进行病理检查,对病理诊断结果进行分析。结果良性病变占82.29%,其中包括功能性病变和非器质性病变;恶性病变占17.71%。结论绝经后阴道出血多数为良性病变,而随着发病年龄增大,距绝经年限越久、出血时间越长,良性病变减少,恶性病变增多。
Objective To evaluate the relationship between the pathological diagnosis of 175 cases of postmenopausal vaginal bleeding and age, menopause, bleeding time and other related factors. Methods From June 2010 to June 2011, 175 patients with physiological menopause over 1 year, irregular vaginal bleeding, contact vaginal bleeding and leucorrhea were examined by vaginal ultrasonography, cervix Liquid-based cell examination, biopsy colposcopy, hysteroscopic biopsy, obtained specimens for pathological examination, the pathological diagnosis results were analyzed. Results of benign lesions accounted for 82.29%, including functional lesions and non-organic lesions; malignant lesions accounted for 17.71%. Conclusions The majority of vaginal bleeding after menopause is benign, and as the age of onset increases, the longer the menopause period, the longer the bleeding time, the less benign lesions and the more malignant lesions.