绝经后阴道出血400例分析  

Analysis on 400 cases of postmenopausal vaginal bleeding

作　　者：刘海彬[1] 

机构地区：[1]山东省菏泽市立医院,274031

出　　处：《职业与健康》2003年第8期145-146,共2页Occupation and Health

摘　　要：目的　明确引起绝经后阴道出血的病因及诊断方法。方法　对 40 0例绝经后阴道出血患者进行临床及病理分析。结果　 40 0例中恶性肿瘤 78例 ,占 19 5 % ,其中宫颈癌 3 4例 ,占恶性肿瘤的 43 5 9% ;子宫内膜癌 2 8例 ,占 3 5 90 % ;卵巢癌16例 ,占 2 0 5 1% ;检出良性病变 3 2 2例 ,占 80 5 % ;患者年龄越大 ( >5 8岁 ) ,绝经时间越长 ( >10a) ,恶性肿瘤的发生率越高。结论　对绝经后阴道出血患者的诊断应注重常规的妇科检查和必要的辅助检查以明确病因 ,做到早诊早治 ,可预防和减少恶性肿瘤的发生。Objective]To make certain the causes of postmenopausal vaginal bleeding and relative diagnosis methods.[Methods]Clinical and pathological analysis was made on 400 cases of postmenopausal vaginal bleeding.[Results]78 cases were malignant tumor (19.5%), among which 34 cases were cervical cancer (43.59%), 28 cases were carcinoma of endometrium (35.90%), and 16 cases were ovarian cancer (20.51%). 322 cases were benign diseases (80.5%). The older the patients are (>58) and the longer duration of menopause they have (>10), the higher is the incidence of malignant tumor is.[Conclusion]Regular gynecopathy examination and other necessary examinations should be emphasized in order to make certain the causes of the disease. Early diagnosis and treatment may help in preventing and reducing the incidence of malignant tumors.

关 键 词：阴道出血 绝经后 恶性肿瘤 

分 类 号：R711.51[医药卫生—妇产科学]