绝经后阴道流血80例患者的临床病理分析

李亚利1 ，赵来时1 ，郭秀珍2

（1.陕西省扶风县人民医院，陕西 宝鸡，722200；2.陕西省宝鸡市陈仓医院，陕西 宝鸡，721300）

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摘要：

目的 分析80 例绝经后阴道流血患者的临床病理特点。方法 从2013年10月至2015年10月到我院接受治疗的绝经后阴道流血患者中随机选取80例作为受试对象，着重分析其年龄、子宫内膜厚度、阴道出血量以及出血方式等情况。结果 经统计发现，恶性病变有25例（31.25%），非恶性病变有55例（68.75%）；患者绝经时间越长，子宫内膜厚度就越厚，其恶性病变发生几率就越高；恶性病变患者绝经时间明显长于非恶性病变患者，子宫内膜厚度明显高于非恶性病变患者，差异具有统计学意义（P<0.05）。结论 恶性病变多以宫体恶性病变与宫颈病变为主，绝经后阴道流血是其主要征兆，可通过筛查子 宫内膜厚度、出血时间等评定患者出现恶性病变现象。医务人员一方面应加强对绝经后阴道出血患者的诊断治疗，找出患者的临床病理机制，并予以对应措施治疗，另一方面也应注重卫生健康宣传工作，提高妇女的保健意识。

关键词：绝经；阴道流血；临床病理

中图分类号：R711文献标志码：A文章编号：2096-1413(2017)20-0078-02

Clinical pathology characters of 80 patients with postmenopausal vaginal bleeding
LI Ya-li 1, ZHAO Lai-shi 1, GUO Xiu-zhen 2
(1. Fufeng County People``s Hospital of Shaanxi Province, Baoji 722200; 2. Chencang Hospital of Baoji, Baoji 721300, China)

ABSTRACT: Objective To analyze the clinical pathology characters of 80 patients with postmenopausal vaginal bleeding. Methods Eighty cases of patients with postmenopausal vaginal bleeding treated in our hospital from October 2013 to October 2015 were included in this study. The age, endometrial thickness bleeding amount and bleeding patterns of the patients were analyzed. Results According to the statistics, 25 cases of patients (31.25%) were with malignant lesions and 55 cases of patients (68.75%) with non-malignant lesions. The longer the menopause period, the thicker the endometrium, and the higher the probability of malignant lesions. The menopause period of the patients with malignant lesions was significantly longer and the endometrial thickness was significantly higher than those with non-malignant lesions, and the differences had statistical significance (P<0.05). Conclusion Malignant lesions are mainly uterine and cervical lesions, with
postmenopausal vaginal bleeding as the major sign. The malignant lesions may be assessed through examining endometrial thickness and bleeding time. On the one hand, medical staff shall strengthen the diagnosis and treatment of patients with postmenopausal vaginal bleeding to find the pathological mechanism in clinic and treat with corresponding measures; on the other hand, medical staff should also publicize health and sanitation, as well as enhance women``s health care consciousness.
KEYWORDS: menopause; virginal bleeding; clinical pathology

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