The 333 Causes Of Postmenopausal Vaginal Bleeding Women Related Etiological Factor Analysis

Objective Retrospectively analyze the case data of inpatients with postmenopausal vaginal bleeding and explore the distribution of vaginal bleeding in postmenopausal women between different age groups and different places of residence.Methods From January 2013 to December 2016,patients who were hospitalized in the Minda Hospital affiliated to Hubei Minzu University were accused of “post-menopausal vaginal bleeding”.The cases were reviewed,and the patient’s place of residence,age,age of menopause,menopause time,bleeding time,histopathological findings and other data were collected for retrospective analysis.According to the results of the disease,the lesions were divided into benign lesion group and malignant lesion group;according to the patient’s place of residence,it was divided into two groups:rural patients and urban patients;every 5 years was an age stage,and the age was divided into A,B,C,D,E,F,and G,calculate the composition ratio of various diseases at various ages,and use SPSS25.0 software to statistically analyze the data.Results 227 cases(68.17%)of benign lesions,including 99 cases of endometritis(29.73%),22 cases of endometrial polyps(6.61%),20 cases of cervical intr aepithelial lesions(6.01%,of which low-grade intraepithelial lesions 7 For example,13 cases of high-grade intraepithelial lesions,19 cases of uterine fibroids(5.71%,including 10 cases of submucosal fibroids),18 cases of cervical polyps(5.41%),and 16 cases of endometrial hyperplasia(4.80%,12 cases of simple hyperplasia,3 cases of atypical hyperplasia,1 case of complex hyperplasia),15 cases of cervicitis(4.50%),9 cases of atrophic vaginitis(2.70%),6 cases of benign ovarian tumors(1.80%),The other 3 cases(0.90% included salpingitis,1 case of secretory endometrium);106 cases(31.83%)of malignant lesions,including 62 cases of cervical cancer(18.62%,60 cases of cervical squamous cell carcinoma,cervical adenocarcinoma)2 cases);endometrial cancer in 30 cases(9.01%,endometrial adenocarcinoma in 28 cases,clear cell carcinoma in 1 case,clear cell carcinoma with adenocarcinoma in 1 case),ovarian borderline tumor in 4 cases(1.20%),ovarian cancer 4 cases(1.20%),vulvar cancer 3 cases(0.90%),uterine sarcoma 2 cases(0.60%),rectal cancer complex Violations of the vagina in 1 case.Endometrial polyps,uterine fibroids,endometrial non-organic lesions,ovari an benign tumors showed a downward trend with age(P=0.024,P=0.002,P =0.000,P = 0.012).Endometritis,cervical cancer,and ovarian malignant tumors showed an increasing trend with age(P=0.001,P=0.011,P=0.026);Benign le sions generally decrease with age,and malignant diseases as a whole are on the rise(P=0.001)Among benign lesions,66.5% were rural patients and 33.5% were urban patients;among malignant lesions,83.0% were rural patients and 17.0% were urban patients.Among the benign and malignant patients,the rural patients were higher than the urban patients,and the difference between the two groups(P=0.02)was statistically significant.Conclusion The causes of vaginal bleeding after menopause are diverse,and benign lesions are the majority,mainly endometritis and endometrial polyps,cervicitis;malignant lesions causing vaginal bleeding after menopause are mainly cervical cancer and endometrial cancer.With the increase of age,the disease causing vaginal bleeding,the overall benign lesions showed a downward trend,but endometritis showed an upward trend;malignant diseases showed an upward trend.Therefore,for women with postmenopausal vaginal bleeding,we must pay attention to the screening of malignant diseases,so that early diagnosis and early treatment.In postmenopausal vaginal bleeding patients,whether benign or malignant,the proportion of rural patients is significantly higher than that of urban patients,which is related to poor medical conditions in rural areas,weak awareness of disease screening,poor awareness of cancer prevention,and low economic and cultural level.It is necessary to increase the intensity of disease screening and popularize knowledge about malignant tumors.Early detection,early diagnosis,early treatment and improved prognosis.