绝经后阴道出血264例病因分析

目的分析绝经后阴道出血（PMB）的常见病因及绝经后阴道出血与恶性肿瘤的关系。方法回顾分析264例绝经1年以上的阴道出血患者的临床和病理资料。结果非器质性病变占40.15%（106例）,良性疾病占45.46%（120例）,恶性肿瘤占14.39%（38例）。随发病年龄增大（〉58岁）,绝经年限越长（〉10年）,出血距初诊时间越长及子宫增大,宫腔深（〉8cm）,恶性肿瘤的比例越高。结论本研究结果表明,PMB病因复杂,重点是病因诊断,对发病年龄越大,绝经时间越长的PMB患者更应警惕生殖器恶性肿瘤的发生。

Etiological analysis of 264 cases with postmenopausal bleeding

Objective To analyze the pathological reasons of postmenopausal bleeding(PMB),and to explore the correlation between PMB and malignant tumors.Methods A total number of 264 patients with vaginal bleeding after more than 1 year of menopause were analyzed retrospectively for their clinical and pathological records.Results 106 cases were confirmed with nonorganic diseases(40.15%),120 with benign diseases(45.46%)and 38 with malignant tumors(14.39%)among all the patients.The prevalence of malignant tumor increase...