绝经后阴道出血65例分析

目的探讨绝经后阴道出血的相关因素。方法回顾性分析65例绝经后阴道出血患者的临床资料。结果65例绝经后阴道出血患者中，良性病变48例（74％），恶性肿瘤8例（12％），功能性病变9例（14％）。恶性病变患者的发病年龄、绝经年限、子宫内膜厚度及出血距初诊时间均大于良性病变和功能性病变者，差异均有统计学意义（P〈0．05）。结论绝经后阴道出血患者大部分是良性病变，发病年龄越大、绝经年限长、子宫内膜厚度大及出血距绝经时间越长，恶性肿瘤的发生率越高。

Postmenopausal bleeding:a clinical analysis of 65 cases

Objective To explore related factors of postmenopausal bleeding(PMB).Methods The clinical and pathological data of 65 PMB patients admitted in this hospital were retrospectively analyzed.Results The causes for PMB were benign diseases(74%),functional disease(14%)and malignant tumor(12%).Compared with benign diseases and functional diseases,the attack age of malignant tumor was higher,menopausal duration was longer,bleeding duration was longer,and mucous membrane was obviously thickened,there were significant differences in gravidity and parity(P＞0.05).Conclusion The main cause for PMB is benign diseases,followed by functional diseases.More attentions should be paid to the PMB patients with higher attack age,longer menopausal duration and bleeding duration,and obviously thickened mucous membrane,so as to be precautious to the occurrence of malignant tumor.