206 cases clinical analysis of vaginal bleeding after menopause.docVIP

 PAGE \* MERGEFORMAT 5 206 cases clinical analysis of vaginal bleeding after menopause [Keywords:] menopausal vaginal bleeding Postmenopausal vaginal bleeding (post menopausal bleeding, PMB older women is a common gynecological symptoms. Now in our hospital from October 2005 to October 2008 outpatient and inpatient treatment of 206 patients were analyzed retrospectively. 1 Clinical data During the outpatient and inpatient hospital treatment of patients with postmenopausal bleeding 206 cases of natural menopause were more than 1 year, aged 45 to 81 years, of which 20 cases less than 50 years of age, accounting for 9.71%, 50 to 60 years of age 157 cases, accounting for 76.21%, more than 60 years of age in 29 cases, accounting for 14.08%. postmenopausal bleeding time from 1.5 years to 31 years, an average of 9.53 years. the clinical symptoms of vaginal bleeding or bloody discharge patients had diagnostic curettage .206 biopsy specimens or surgical specimens results or colposcopic cervical biopsy results. vaginitis diagnosis based on clinical symptoms and excretion smear results. 2 Results 2.1 The cause of postmenopausal bleeding cases showed that 206 patients, divided into nine categories of causes of bleeding: senile vaginitis (39.32%, endometrial cancer (16.50%, uterine bleeding (15.53%, ovarian cancer (9.22%, atypical endometrial hyperplasia (5.34%, uterine fibroids (3.88%, cervical cancer (3.88%), chronic cervicitis (3.39%), endometritis (2.91%) Table 1. With the increase of 2.2 years since menopause, especially in menopause for over 10 years, the incidence of cancer than postmenopausal women less than 10 years of age increased, in particular, the incidence of endometrial cancer and the incidence of less than 10 years there was a significant difference sex (P lt;0.05), Table 1. Table 1, years since menopause and the relationship between causes of bleeding (slightly 3 Discussion 3.1 The reasons for vaginal bleeding after