绝经后阴道流血是指生理性绝经1年以上的阴道流血或血性白带,是老年妇女常见症状之一,也是部分老年妇女生殖系统恶性肿瘤的征兆,我院1997年1月～1999年6月门诊与病房诊治绝经后阴道流血病人287例进行临床分析。1 临床资料1.1 一般资料:287例病人均为自然绝经1年以上,最长41年,平均7.1年,均有病理检查结果。年龄40～82岁,平均58.2岁,绝经年龄38～60岁,平均48.9岁。就诊时间为1天～1年余。症状多数为不规则少量阴道流血,白带带血或接触性出血,极少数为阴道流血多于月经量。1.2 绝经后阴道流血原因:妇科良性疾病165例占57.49％,其中阴道炎51例,子宫颈炎72例,子宫息肉21例,子宫内膜炎12例,子宫肌瘤4例,卵巢良性肿瘤5例。恶性肿瘤56例占 Vaginal bleeding after menopause refers to more than 1 year of menopausal vaginal bleeding or bloody vaginal discharge, is one of the common symptoms of elderly women, but also some of the signs of older women reproductive system malignancy, our hospital in January 1997 ~ June 1999 outpatient Clinical analysis of 287 cases with post-menopausal vaginal bleeding in the ward. 1 Clinical data 1.1 General information: 287 patients were more than 1 year of natural menopause, a maximum of 41 years, an average of 7.1 years, both pathological findings. Aged 40 to 82 years, mean 58.2 years, menopausal age 38 to 60 years, mean 48.9 years. The treatment time is 1 day ~ 1 year. Most irregular symptoms of vaginal bleeding, vaginal discharge or blood contact, very few vaginal bleeding more than the amount of menstruation. 1.2 postmenopausal vaginal bleeding causes: gynecological benign diseases in 165 cases accounted for 57.49%, of which 51 cases of vaginitis, 72 cases of cervicitis, uterine polyps in 21 cases, endometritis in 12 cases, 4 cases of uterine fibroids, benign ovarian tumors 5 example. 56 cases of malignant tumors