不同基因亚型人乳头瘤病毒感染与宫颈病变的关系

Correlation between different genotypes of human papillomavirusesinfections and cervical diseases

  • 摘要: 目的 探讨不同基因亚型人乳头瘤病毒(HPV)感染与宫颈病变之间的关系,为宫颈癌的治疗和预防提供客观依据。方法 选取医院2016年1月-2017年1月收诊的621例宫颈病变患者,采集宫颈上皮细胞进行液基细胞学检查,并用核酸分子快速杂交基因分型技术鉴定患者HPV基因亚型。结果 621例宫颈病变患者,其中291例为HPV阳性者,HPV阳性率为46.86%; 随着病变程度的加剧,阳性例数增多,阳性率增高; 在HPV感染阳性的291例患者中,常见的HPV基因亚型为HPV16、HPV52、HPV58、HPV68和HPV18; 随着病变程度的加剧,低危型基因亚型检出率降低,高危型基因亚型检出率增加; HPV16基因亚型和病变程度密切相关,随着病变程度的加剧,HPV16基因亚型检出率明显增高(P<0.01); 不同组别中,单一感染和多重感染的比例相对稳定,差异无统计学意义。结论 宫颈病变患者最常见的HPV基因亚型为HPV16、HPV52、HPV58、HPV68和HPV18,其中HPV16检出率与病变程度呈正相关,多重感染并不影响病变程度。

     

    Abstract: OBJECTIVE To explore the relationship between different genotypes of human papillomavirues (HPV) infections and cervical diseases so as to provide objective basis for prevention and treatment of cervical cancer. METHODS A total of 621 patients with cervical diseases who were treated in hospitals from Jan 2016 to Jan 2017 were enrolled in the study, the cervical epithelial cells were collected for liquid-based cytology test, and the HPV genotypes were identified by using nucleic acid molecular rapid hybridization genotyping technology. RESULTS Of the 621 patients with cervical diseases, 291 were positive for HPV, with the positive rate 46.86%.The number of positive cases and the positive rate were increased with the aggravation of degree of lesions.Among the 291 patients positive for HPV infections, the HPV16, HPV52, HPV58, HPV68 and HPV18 were the predominant HPV genotypes.With the aggravation of degree of lesions, the detection rates of low-risk HPV genotypes were decreased, while the detection rate of high-risk HPV genotypes were increased.The HPV16 genotype was closely associated with the degree of lesions, and the detection rate of the HPV16 genotype was significantly increased with the aggravation of degree of lesions (P<0.01).There was no significant difference in the proportion of the patients with single infection or multiple infections among the different groups. CONCLUSION The HPV16, HPV52, HPV58, HPV68 and HPV18 are the most common HPV genotypes among the patients with cervical diseases, the detection rate of the HPV16 is positively correlated with the degree of lesions, and the multiple infections do not affect the degree of lesions.

     

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