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目的进一步探讨引起绝经后阴道出血的常见原因及其与出血年龄、绝经年限的关系及出血距初诊时间的关系。方法回顾性分析152例绝经后阴道出血患者的临床和病理资料。结果非器质性疾病80例,占52.6%,良性疾病54例,占35.5%,恶性肿瘤18例,占11.8%。恶性肿瘤患者发病年龄明显高于良性疾病和非器质性病变者(P均<0.01)。恶性肿瘤出血者绝经年限明显长于良性疾病和非器质性病变者(P<0.01)。出血距初次就诊时间也以恶性肿瘤明显长于良性疾病和非器质性病变者。结论绝经后阴道出血的主要原因是非器质性疾病,其次为良性疾病。恶性肿瘤引起绝经后阴道出血的年龄及绝经年限均长于良性疾病和非器质性病变者。
Objective To explore the common causes of postmenopausal vaginal bleeding and its relationship with the age of hemorrhage, the age of menopause and the time of bleeding from the first visit. Methods A retrospective analysis of 152 cases of postmenopausal vaginal bleeding in patients with clinical and pathological data. Results 80 cases of non-organic diseases, accounting for 52.6%, 54 cases of benign diseases, accounting for 35.5%, 18 cases of malignant tumors, accounting for 11.8%. The age of onset of malignant tumors was significantly higher than that of benign and non-organic lesions (all P <0.01). Menopausal bleeding in patients with malignant tumors was significantly longer than those with benign and non-organic lesions (P <0.01). Hemorrhage from the time of the first visit with malignancy was significantly longer than benign disease and non-organic disease. Conclusions The main cause of vaginal bleeding after menopause is non-organic diseases, followed by benign diseases. Malignant tumors caused by postmenopausal vaginal bleeding age and menopause are longer than the benign and non-organic lesions.