宫颈高危型HPV感染患者与生殖器感染的关系及HPV DNA检测评价

Relationship between genital infection and cervical high-risk HPV infection and value of HPV DNA

  • 摘要: 目的 分析宫颈高危型人乳头瘤病毒(HPV)感染患者与生殖器感染的关系及HPV DNA检测价值。方法 选择2016年10月-2017年10月因各类妇科疾病于医院接受相应治疗的967例患者作为研究对象。患者入院后均进行相应检查,统计生殖器感染患者例数。取所有高危型HPV患者宫颈外口及宫颈管脱落细胞,采用杂交捕获法与薄层液基细胞检验法联合检验,统计详细检测结果并进行相关性及检测价值分析。结果 967例患者接受检查共检出469例生殖器感染患者,占48.50%。共检出373例高危型HPV患者,占38.57%。生殖器感染组469例患者中,检出高危型HPV感染患者236例,占50.32%,生殖器感染患者以外阴阴道假丝酵母感染为主;498例未出现生殖器感染,占51.50%,共检出高危HPV感染患者127例,占25.50%;多因素Logistic回归分析结果显示,外阴阴道假丝酵母菌、复发性外阴阴道假丝酵母菌、滴虫性阴道炎、沙眼衣原体为生殖器感染与HPV感染的影响因素(P<0.05);病理活检共检出CIN患者105例,宫颈癌患者3例,108例CIN与宫颈癌患者中,出现高危HPV感染的患者共计74例,HPV感染率为68.52%。结论 存在较高生殖器感染率的人群,其高危型HPV阳性感染率同样越高,对HPV阳性感染率的有效检测可及时预测患者病情的发展,为CIN及宫颈癌患者后续治疗提供数据支持。

     

    Abstract: OBJECTIVE To analyze the relationship between cervical high-risk HPV infection and genital infection, as well as the detection value of HPV DNA. METHODS 967 patients with various gynecological diseases treated in our hospital from Oct. 2016 to Oct. 2017 were selected as the study subjects. Patients were given corresponding inspection after admission, and the case number of genital infection was recorded. The exfoliated cells from cervical outlet and cervical canal of all high-risk HPV patients were collected and tested by hybridization capture and thin layer liquid based cell test. The detailed test results were recorded and the correlation and detection value were analyzed. RESULTS In the 967 patients, a total of 469 cases of genital infections were detected, accounting for 48.50%. A total of 373 cases of high-risk HPV infection were detected, accounting for 38.57%.In the 469 cases of patients with genital infections, 236 were detected with high-risk HPV infection, accounting for 50.32%, and the genital infections were dominated by vulvovaginal candida infection. 498 cases of patients were not detected with genital infections, accounting for 51.50%, among which 127 cases of high-risk HPV infection were detected accounting for 25.50%. Multivariate logistic regression analysis showed that vulvovaginal Candida, recurrent vulvovaginal Candida, trichomoniasis vaginitis, and Chlamydia trachomatis were the risk factors of genital infection and high-risk HPV infection (P<0.05). Pathological biopsy detected a total of 105 patients with CIN, and 3 patients with cervical cancer. In the 108 patients with CIN and cervical cancer, 74 patients were detected with high-risk HPV infection, and the HPV infection rate was 68.52%. CONCLUSION The high-risk HPV positive infection rate is also higher in people with higher genital infection rate. The incidence of infection is positively correlated. The effective detection of HPV positive infection rate can predict the development of patients' condition, and provide data for follow-up treatment of patients with CIN and cervical cancer.

     

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