摘要
目的分析绝经后阴道出血(PMB)的常见病因及绝经后阴道出血与恶性肿瘤的关系。方法回顾分析264例绝经1年以上的阴道出血患者的临床和病理资料。结果非器质性病变占40.15%(106例),良性疾病占45.46%(120例),恶性肿瘤占14.39%(38例)。随发病年龄增大(>58岁),绝经年限越长(>10年),出血距初诊时间越长及子宫增大,宫腔深(>8cm),恶性肿瘤的比例越高。结论本研究结果表明,PMB病因复杂,重点是病因诊断,对发病年龄越大,绝经时间越长的PMB患者更应警惕生殖器恶性肿瘤的发生。
Objective To analyze the pathological reasons of postmenopausal bleeding（PMB）,and to explore the correlation between PMB and malignant tumors.Methods A total number of 264 patients with vaginal bleeding after more than 1 year of menopause were analyzed retrospectively for their clinical and pathological records.Results 106 cases were confirmed with nonorganic diseases（40.15%）,120 with benign diseases（45.46%）and 38 with malignant tumors（14.39%）among all the patients.The prevalence of malignant tumor increased with age of PMB（58 years old）,post-menopausal years（10 years）,time from bleeding onset to first hospital visit and the depth of uterine cavity（8 cm）.Conclusion Diagnosis of causation for PMB is very important.The PMB women with old age and long postmenopausal duration should be especially aware of the risk for malignant tumors.
出处
《中国预防医学杂志》
CAS
2010年第2期193-195,共3页
Chinese Preventive Medicine
关键词
绝经后阴道出血
病因
恶性肿瘤
Postmenopausal bleeding
Etiology
Malignant tumor
