225例绝经后阴道出血临床病理分析

目的 分析绝经后阴道出血的临床病理特点。方法 对本院1992－2000年间收治的225例绝经后阴道出血病例的临床病理资料进行分析总结。结果 临床表现为阴道不规则出血，血性分泌物及接触性出血；其中良性病变12例（54．2％），子宫内膜功能性变化45例（20．0％），恶性肿瘤26例（11．6％）。随着年龄的增大，绝经时间延长，恶性肿瘤的发病率增大。结论 绝经后阴道出血病因复杂，多样，临床应根据病理检查，结合临床表现和其它辅助检查进行综合诊断，尤应警惕恶性肿瘤的发生。

Postmenopausal bleeding: A clinicopathological study of 225 cases

Objective To investigate the clinicopathological features of postmenopausal bleeding.MethodClinical pathological materials of 225 cases with postmenopausal bleeding who were treated in our hospital from 1992 to 2000 were analyzed.Result All patients complained of irregular metrorrhagia, sanguinous leukorrhea or contact bleeding. 122 cases were pathologically observed to be benign lesion (54.12%), 45 cases be endometrium functional bleeding (20%), and 26 cases be malignant tumors (11.6%). With the age increasing and the year of menopause prolonging, the incidence of malignant tumor increased.Conclusion The causes of PMB are complicated, the comprehensive diagnosis should be made according to clinical manifestation, pathological observation and other accessory examinations. The incidence of malignant tumor should be paid more attentions.