阴道流血是围绝经期女性就诊的一个常见原因,生殖道多个部位及多种疾病均可表现为这一症状。因此,清晰的诊断思路和程序在进行病因诊断时尤为重要。本文就此问题从“先定位后定性”的思路入手,解析围绝经期阴道流血的诊断程序。 Vaginal bleeding is a common cause of peri-menopausal women’s treatment, and multiple parts of the genital tract and many diseases can be manifested as this symptom. Therefore, a clear diagnostic ideas and procedures in the diagnosis of etiology is particularly important. This article starts from the idea of ​​ “positioning first ”, to resolve the diagnostic procedure of perimenopausal vaginal bleeding.