目的:分析和探讨妇女绝经后阴道出血的原因,以便更好指导临床工作。方法:对116例绝经后阴道出血患者的临床资料进行回顾性分析。结果:老年性阴道炎37例,功能性子宫出血27例,慢性宫颈炎20例,子宫内膜炎9例,恶性肿瘤13例,子宫肌瘤5例,宫内节育器3例,其他病例2例。结论:炎症性病变是引起绝经后阴道出血的主要原因,绝经时间越长出现的阴道出血、恶性肿瘤的发病率越高。对绝经后阴道出血要应用常规妇科检查和必要的辅助检查以明确病因,早期治疗。 Objective: To analyze and discuss the causes of vaginal bleeding after menopause in order to better guide the clinical work. Methods: The clinical data of 116 cases of postmenopausal vaginal bleeding were retrospectively analyzed. Results: 37 cases of senile vaginitis, 27 cases of functional uterine bleeding, 20 cases of chronic cervicitis, 9 cases of endometritis, 13 cases of malignant tumors, 5 cases of uterine fibroids, 3 cases of intrauterine device, the other cases 2 example. Conclusion: Inflammatory disease is the main cause of vaginal bleeding after menopause. The longer the menopause occurs, the more vaginal bleeding occurs. The higher the incidence of malignant tumors is. For postmenopausal vaginal bleeding to be applied routine gynecological examination and the necessary auxiliary examination to clarify the cause, early treatment.