绝经后阴道出血403例临床分析  

Clinical Analysis of 88 Cases of Postmenopausal Bleeding

作　　者：代昌凤 

机构地区：[1]成都市龙泉区第一人民医院妇产科,四川成都610100

出　　处：《中国医药指南》2013年第10期444-445,共2页Guide of China Medicine

摘　　要：目的研究分析绝经后阴道出血的诊断及治疗。方法回顾性分析403例绝经后阴道出血患者的临床资料,将患者按照年龄分为两组,低龄组(70岁以下)患者353例,高龄组(70岁以上)患者50例,对所有患者行超声检查和病理检查,严密观察患者的临床症状和治疗效果,比较两组患者的诊治效果。结果子宫良性病变、炎症是导致绝经后阴道出血的一个主要原因,入选患者中患有恶性肿瘤的患者54例,占总人数的13.4%,其中低龄组21例,占5.9%,高龄组33例,占66.0%。两组比较差异明显具有统计学意义(P<0.05)。结论绝经后阴道出血症状以非器质性病变和炎性疾病为主,随着患者年龄的增长和经期的延长,发生恶性肿瘤的可能性会随之增加。Objective To discuss the diagnosis and treatment for post,menopausal bleeding. Methods Retrospectly analyzed clinical data of 403 patients of postmenopansal bleeding with results of ultrasonography and pathological examination to divide into young group and old group. Compared the diagnosis and treatment of these two groups. Results The major cause was uterine benign disease and inflammation. And there were 54 cases of tumor in these patients （13.4%）, according to 21 eases in yoking group （5.9%） and 33 eases in old group （66.0%）. There were significant difference in these two groups （P〈0.05）. Conclusion The older age is and the longer time is, the incidence rate of cancer is high. We should physical examination to avoid missing diagnosis to decrease the rate of cancer.

关 键 词：绝经妇女 阴道出血 恶性肿瘤 诊断方式 临床治疗 

分 类 号：R711.51[医药卫生—妇产科学]