宫颈癌患者人乳头状瘤病毒感染与阴道菌群及炎性因子变化研究

Changes of HPV infection, vaginal flora and inflammatory factors in patients with cervical cancer

  • 摘要: 目的 探讨宫颈癌患者人乳头状瘤病毒(HPV)感染与阴道菌群及炎性因子变化,为宫颈癌的预防治疗提供科学参考。方法 选取2012年6月-2015年10月在医院诊治50例宫颈癌(宫颈癌组)及50例宫颈上皮内瘤变(CIN)(CIN组)患者,采集宫颈及阴道分泌物检测HPV、阴道菌群、肿瘤坏死因子-α(TNF-α)、白细胞介素-4(IL-4)、IL-6、IL-10水平。结果 HPV感染率宫颈癌组为96.00%、CIN组为84.00%;宫颈癌组患者HPV16、18感染率分别为68.00%、60.00%,显著高于CIN组患者42.00%、34.00%,两组比较差异均有统计学意义(P<0.05);宫颈癌组和CIN组患者病原体感染率分别为94.00%和92.00%,两组比较差异无统计学意义,宫颈癌组患者滴虫、念珠菌属、细菌、支原体属、衣原体属感染率分别为24.00%、32.00%、52.00%、42.00%、40.00%,显著高于CIN组患者8.00%、14.00%、30.00%、22.00%、20.00%,两组比较差异均有统计学意义(P<0.05);宫颈癌组患者TNF-α、IL-4、IL-6、IL-10水平高于CIN组患者,比较差异有统计学意义(P<0.05)。<目的 宫颈癌患者HPV感染率高,主要以HPV16、18为主的多重感染,阴道菌群失调较为明显,HPV感染及菌群感染可引起宫颈炎性因子表达上调。

     

    Abstract: OBJECTIVE To discuss and study on the changes of human papilloma virus(HPV)infection, vaginal flora and inflammatory factors in patients with cervical cancer, so as to provide scientific reference for the prevention and treatment of cervical cancer. METHODS A total of 50 cases of patients with cervical cancer (cervical cancer group) and 50 cases of patients with cervical intraepithelial neoplasia (CIN)(CIN group) were selected, who had diagnosis and treatment in the hospital from Jun. 2012 to Oct. 2015. The collection of cervical and vaginal secretions was detected for the level of HPV, vaginal flora, tumor necrosis factor alpha (TNF-α), interleukin-4 (IL-4), 6 (IL-6) and 10 (IL-10). RESULTS HPV infection rate in cervical cancer group was 96.00%, CIN group 84.00%. HPV16 and 18 infection rates were 68.00% and 60.00% in cervical cancer group, which were significantly higher than those in CIN group 42.00% and 34.00% (P<0.05). The pathogene infection rates were 94.00% in cervical cancer group and 92.00% in CIN group, and there was no significant difference between the two groups. The infection rates of Trichomonas, Candida, bacteria, Mycoplasma and Chlamydia were 24.00%, 32.00%, 52.00%, 42.00% and 40.00% in cervical cancer group, which were significantly higher than the CIN group 8.00%, 14.00%, 30.00%, 22.00% and 20.00% (P<0.05). The levels of TNF-α,IL-4,IL-6 and IL-10 in cervical cancer group were significantly higher than those in CIN group (P<0.05). CONCLUSION Patients with cervical cancer has high HPV infection rate, mainly caused by multiple infection of HPV16 and 18, with

     

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