绝经后出血332例临床与病理分析

目的 分析引起绝经后出血的病因。方法 对３３２例绝经后出血患进行临床及病理分析。结果 非器质性疾病占６２．９５％,良性疾病占２４．７０％,恶性中１２．３５％。恶性肿瘤中以子宫内膜部为主占６０．９７％,其次为宫颈癌占２６．８９％。结论 发病年龄越大,绝经年限越长,出血时间越长,恶性肿瘤的发生率越大。对绝经后出血患应尽早检查,早期治疗可阻止肿瘤的发展。诊刮不失为首选手段。

Clinical and Pathological Analysis on 332 Postmenopausal Bleeding Cases

Objective To analyze the causes and recognition of the postmenopausal bleeding (PMB). Methods 332 PMB cases were explored to analyze their clinical manifestations and pathological findings. Results 62.95% of the cases had no substantial disorders, 24.70% of the cases had benign disorders. Only 12.35% of the cases had the malignancy, 60.97% of whom suffered from carcinoma of endometrium and 26.68% had carcinoma of uterine cervix. Conclusion In the PMB cases, the longer the bleeding history, the higher the malignancy. The malignancy was also raised with the age. Early diagnosis was an effective way for the development of the malignancy in the PMB cases.