Casea
alysisofgy
ecologya
dobstetrics
caseabstract：XX，56yearsold，Me
opause2yearsvagi
albleedi
gforhalfamo
th。The
patie
tcomplai
edthatshme
opause2yearsagovagi
albleedi
gislesstha
theamou
tofme
struatio
obloodclot
oabdomi
alpai
dizzi
essfatiguea
dotherdiscomfortAtthesametimemorevagi
aldischargecolorwhite
oodorsocometooutpatie
tdepartme
tfortreatme
tHasahistoryofhyperte
sio
formoretha
10yearsdiabetesfor2yearshasbee
treatedwithmedici
e。G3P2。
Physicalexami
atio
T367℃P80timesmi
R20timesmi
BP150100mmHgFatsuperficiallymph
odesare
otvisiblecardiopulmo
aryauscultatio
is
ormalabdome
isflata
dsoftthereis
opressurepai
a
drebou
dpai
livera
dsplee
are
otvisibleu
dertheriba
dbothlowerlimbsare
otswolle
Gy
ecologicalexami
atio
vulvavagi
au
obstructedsmallamou
tofbloodca
besee
cervixsmoothimpote
ceThefor
ixshapewas
ormalthea
terioruteri
epositio
wasslightlylargera
d
oab
ormalitywasobservedi
thebilateralad
exalarea
Termsaccordi
gtotheabovecasesummarypleasese
dtheprelimi
arydiag
osisdiag
osticbasisiftherearetwoormorediag
osisshouldbeseparatelylistedtheirdiag
osisdiffere
tialdiag
osisfurtherexami
atio
a
dtreatme
tpri
cipleofwriti
go
thea
swersheetExamtime10mi
utesTotalof100poi
ts
fCriteriaforthea
alysisa
dscoreofobstetricsa
dgy
ecologycases
Evaluatio
criteria
Totalscore
一、Primarydiag
osis
20分
Postme
opausalvagi
albleedi
g（5poi
ts）：E
dometrialca
cer（5poi
ts）
10
hyperte
sivedisease
5
score
diabetesmellitus
5
二、Diag
osticbasis
20分
1Haveahistoryofpostme
opausalvagi
albleedi
g
7
2Vagi
aldischargeisusuallyi
creased
4
3hyperte
sivediseasediabetesi
thepast
4thereisasmallamou
tofbloodi
thevagi
aThecervixissmootha
dflaccid2poi
tsA
terioruteri
epositio
slightlylarger3poi
ts
三、Thediffere
tialdiag
osis
4510分
1Atrophicvagi
itis
4
2Dysfu
ctio
ale
dometrialbleedi
g
4
3Submucosalmyomaorpolypoftheuterus4Cervicalca
ceruteri
esarcomafallopia
tubeca
cera
dothermalig
a
tdiseases四、furtherexami
atio

1120分
1Bmodeultraso
ography
5
2fractio
alcurettage
5
3CA125
5
4hysteroscopy
5
五、pri
cipleoftreatme
t
1fi
ishpreoperativeexami
atio
5poi
tsco
trolbloodpressurea
dbloodglucose5poi
ts2I
formthepatie
ta
dfamilya
dsig
i
formedco
se
t
3Thesurgicaltreatme
t
30分10515
fr