老年妇女绝经后阴道流血113例病因分析

目的:探讨老年妇女绝经后阴道流血的病因。方法:对113例绝经后阴道流血的老年患者进行回顾性分析。结果:113例中,良性病变78例,其中子宫颈炎52例,子宫内膜炎10例,子宫肌瘤7例,子宫内膜增生7例,卵巢囊肿2例;恶性肿瘤32例,其中子宫颈癌19例,子宫内膜癌10例,卵巢癌2例,输卵管癌1例;癌前病变3例。113例中,由炎症引起62例。70岁以上年龄组恶性肿瘤发生率为44.00%,70岁以下组为23.86%,两组差异有统计学意义(P<0.05)。结论:老年妇女绝经后阴道流血的病因主要为妇科炎症,其次为恶性肿瘤,了解其病因可达到早期诊断、早期治疗的目的。

Causes of vaginal bleeding in the elderly after menopause:analysis of 113 cases

Objective：To investigate the causes of vaginal bleeding after menopause in the elderly. Methods：The clinical data of 113 elderly women with vaginal bleeding were analyzed retrospectively. Results： Among the 113 cases, 78 cases were benign lesions, of which 52 were cervicitis, 10 endometritis,7 uterine leiomyoma,7 endometrial hyperplasia and 2 ovarian cysts ; 32 cases were malignant tumors,of which 19 were cervical cancer, 10 endometrial cancer,2 ovarian cancer cases and 1 case was fallopian tube cancer;3 cases were precancerous lesions. Sixty-two cases of vaginal bleeding were caused by inflammation. The incidence of malignant tumors was 44.00% in the group over 70 years of age,while it was only 23.86 % in the group under 70. The difference was significant between the two groups （ P 〈 0.05 ）. Conclusions ： The main cause of vaginal bleeding in the elderly after menopause is gynecological inflammation, and the next is cancer. Knowledge of the causes is beneficial to early diaznosis and treatment.