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阴道上皮内瘤变(vaginal intraepithelial neoplasia,VAIN)是无症状的癌前病变。随着全子宫切除术患者增多,宫颈细胞学检查及阴道镜的广泛应用,残端阴道上皮内瘤变逐渐受到关注。目前尚无关于残端VAIN诊治指南,因此,本文将从残端VAIN诊断、治疗方式作一综合性评述,具体阐述残端VAIN诊断要点及各种治疗方式的优缺点,推荐病灶位于阴道顶端者首选可取得病理标本的手术治疗方式,CO_2激光电切术有望成为VAIN患者理想治疗方法之一。
Vaginal intraepithelial neoplasia (VAIN) is an asymptomatic precancerous lesion. With the increase of total hysterectomy patients, cervical cytology and colposcopy widely used, stump vaginal intraepithelial neoplasia gradually attention. So far there is no guideline for the diagnosis and management of stump VAIN. Therefore, this article will give a comprehensive review of the diagnosis and treatment of stump VAIN. It will elaborate the diagnosis points of stump VAIN and the advantages and disadvantages of various treatment methods. The recommended lesions are located at the top of the vagina The first choice for surgical treatment of pathological specimens, CO_2 laser resection is expected to be one of the ideal VAIN treatment.