绝经后阴道流血326例临床与病理分析  

Clinical and pathological analysis of 326 cases of postmenopausal uterine hemorrhage

作　　者：蒙晓玲[1] 

机构地区：[1]河北省廊坊市人民医院妇产科,河北廊坊065000

出　　处：《中国现代医学杂志》2007年第6期737-738,共2页China Journal of Modern Medicine

摘　　要：目的探讨绝经后阴道流血的病因及诊断。方法对绝经后阴道流血326例进行临床及病理分析。结果良性疾病致绝经后阴道流血者占48.16%,非器质性病变占32.21%,恶性病变占19.63%。恶性病变的比率随年龄增加、绝经年限的延长逐渐上升(P<0.01)。结论出血来自子宫最多见。恶性肿瘤以子宫内膜癌和宫颈癌为主,年龄越大、距绝经年限越长者恶性病变的可能性越大。阴道B超结合宫腔镜检查有利于绝经后阴道流血的诊断。[Objectives] To detect the pathogenesis and diagnosis of the postmenopausal bleeding （PMD）. [Methods] The clinical and pathologic features of 326 cases of postmenopausal bleeding were analyzed. [Results] Benign diseases, functional endometrial changes and malignant tumors were accounted for 48.16%, 32.21% and 19.63% respectively. The rate of malignant tumors was elevated in aged women and was associated with the prolonged years of postmenopause （P 〈0.01）. [Conclusions] Most of hemorrhage was from uterus. Endometrial cancer and cervical cancer are the two most frequent malignant tumors. The aged, the longer time of postmenopause, the greater possibility of malignant diseases would be. Transvaginal ultrasonography （TVS） combined with hysteroseopy will help to diagnosis of PMD.

关 键 词：绝经后期 子宫出血 子宫内膜 病理学 

分 类 号：R711.5[医药卫生—妇产科学]