绝经后阴道出血相关因素分析及对策

目的 探讨绝经后阴道流血的病因及绝经年限与恶性肿瘤的关系，以指导绝经期妇女保健，提高老年妇女生活质量.方法 对1998-2007年共收集的绝经后妇女阴道流血病例320例病因进行回顾性分析.结果 320例流血患者中，良性病变引起的出血242例，占75.63％,功能性子宫出血58例,占18.12％,恶性病变20例,占6.25％.绝经10 a和绝经15 a以上分别与绝经1 a和5 a相比较，恶性肿瘤患病率有显著差异（P＜0.05）.结论 绝经后阴道出血的主要原因是良性病变和非器质性病变,绝经年限越长恶性肿瘤发病率越高.

Analysis on Interrelated Factors in Post-Menopausal Vaginal Blccding and the Countermeasures

Abstract:Objective To investigate pathogenies of post-menopausal vaginal bleeding and menopausal years with its relation to malignant tumor so as to instruct senile women health care and improving quality of their life.Methods Pathogenies of  the 320 cases in 1998-2007 of post-menopausal vaginal bleeding were analysed  by using retrospective way.Results Bleeding of 242 cases (75.63％)were arisen by benign diseases,58 cases (18.12％) by functional uterine bleeding,and 20 cases (6.25％) by malignant tumors.By comparing cases of menopause for 10 years and 15 years over  with those for 1 year and 5 years we  have found that the incidences of malignant tumors are markedly different.Conclusion The main causes of postmenopausal vaginal bleeding are benign diseases and functional diseases.The longer the time of menopause,the higher the incidence of malignant tumor.