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目的探讨绝经后阴道出血的相关因素。方法通过对４８１例绝经后阴道出血患者的记录资料进行回顾性分析。结果因生殖系统炎症引起的绝经后出血占６７．８７％，生殖系统肿瘤占１４．５％，功能失调性子宫出血占１３．４％。子宫内膜病理显示萎缩性内膜占４８．３４％，依次为增生期、分泌期内膜。恶性肿瘤中以子宫内膜癌和卵巢恶性肿瘤为主，并且出血年龄大，距绝经年限长者，恶性肿瘤发生率高。结论绝经后阴道出血的主要因素是生殖系统炎症，其次生殖系统肿瘤不可忽视。
Objective To investigate the related factors of postmenopausal vaginal bleeding. Methods The data of 481 cases of postmenopausal vaginal bleeding were retrospectively analyzed. Results Postmenopausal bleeding due to reproductive system inflammation accounted for 67.87%, reproductive system tumors accounted for 14.5%, dysfunctional uterine bleeding accounted for 13.4%. Endometrial pathology showed atrophic endometrium accounted for 48.34%, followed by proliferative, secretory endometrium. Malignant tumors in the endometrial cancer and ovarian cancer-based, and the age of bleeding, elderly menopausal years, the high incidence of malignant tumors. Conclusion The main factor of vaginal bleeding after menopause is reproductive system inflammation, followed by reproductive system tumors can not be ignored.