绝经后出血112例临床体会

Clinical experiences about 112 cases of bleeding after menopause

关键词:  绝经  出血  诊断方法

Key words:  menopauses  bleeding  diagnosis

摘要:

［目的］探讨绝经后出血的原因及诊断方法。［方法］对112例绝经后出血患者的临床资料进行回顾性总结。［结果］非器质性病变51例占45.5%，良性病变50例占44.6%，恶性肿瘤11例占9.82%。［结论］绝经后出血以非器质性病变和良性病变为主，未产妇绝经后出血恶性肿瘤发病率高，诊断要注意病史，常规妇科检查，配以相应辅助检查。宫腔镜、诊断性刮宫不失为异常出血的重要诊断手段。

Abstract:

［Objective］ To probe into the reason and the diagnosis method of bleeding after menopause.［Methods］ The patient's clinical materials carried on the reviewing summary to bleeding after 112 cases of menopause.［Results］ Of 51 cases of non-organic pathologic changes accounted for 45.5%, and 50 cases of benign diseases accounted for 44.6%, and 11 cases of malignant tumor accounted for 9.82%.［Conclusion］ Patients with bleeding after menopause are mainly non-organic pathologic changes and benign diseases. The rate of those who never childbirth suffered from morbidity of malignanttumor is very high. The medical history, the routine gynecological and corresponding auxiliary examination should be noticed. Hysteroscope and diagnostic curettage are important method to diagnose the unusual bleeding.