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目的分析引起绝经后阴道出血的原因及诊断方法。方法对220例绝经后阴道出血患者进行临床及病理分析。结果良性疾病占47.8﹪,其中以炎症为主,非器质性疾病占33.6﹪,其中以增生性子宫内膜为主,恶性疾病占18.6﹪,其中以子宫颈癌和子宫内膜癌为主。随着患者年龄增长、绝经年限延长及宫腔深度增大,恶性肿瘤的发生率增高。结论对绝经后阴道出血患者的诊断应注重常规的妇科检查和必要的辅助检查以明确病因,早期治疗可阻止肿瘤的发生。
Objective To analyze the causes of postmenopausal vaginal bleeding and its diagnostic methods. Methods 220 cases of postmenopausal vaginal bleeding in patients with clinical and pathological analysis. Results 47.8% of benign diseases, of which the main inflammation, non-organic diseases accounted for 33.6%, of which the main proliferative endometrial, malignant diseases accounted for 18.6%, of which cervical cancer and endometrial cancer-based . As patients age, prolonged menopause and uterine cavity depth increases, the incidence of malignant tumors increased. Conclusion The diagnosis of postmenopausal vaginal bleeding patients should pay attention to the routine gynecological examination and the necessary auxiliary examination to clarify the cause, early treatment can prevent the occurrence of tumors.