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目的探讨绝经后阴道流血的病因及诊断方法。方法对285例绝经后阴道流血的患者进行回顾性分析。结果285例绝经后阴道流血患者中,生殖系统感染引起的流血178例,占62.46%;功能失调性子宫出血,59例,占20.70%;子宫肌瘤13例,占4.56%;恶性肿瘤27例,占9.47%;宫内节育器引起的出血8例,占2.80%。结论绝经后阴道流血患者中,生殖系统感染引起的出血最多,随年龄增长出血距绝经时间越长,恶性肿瘤的发生率越高。
Objective To investigate the etiology and diagnosis of vaginal bleeding after menopause. Methods 285 cases of postmenopausal vaginal bleeding were retrospectively analyzed. Results 285 cases of vaginal bleeding in postmenopausal women, the reproductive system caused by bleeding 178 cases, accounting for 62.46%; dysfunctional uterine bleeding, 59 cases, accounting for 20.70%; 13 cases of uterine fibroids, accounting for 4.56%; 27 cases of malignant tumors , Accounting for 9.47%; 8 cases of bleeding caused by IUD, accounting for 2.80%. Conclusions Among the post-menopausal vaginal bleeding patients, the most frequent bleeding caused by genital infection, the longer the menopause hemorrhage with age, the higher the incidence of malignant tumors.