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论文摘要

四川地区HPV亚型及多重感染与宫颈癌前病变的关系初探

Relationship of Human Papillomavirus Subtypes and Multiple Infection with Different Cervical Precancerous Diseases in Sichuan Province

作者:冯余宽, 彭英, 朱联等

Author:FENG Yu-kuan, PENG Ying, ZHU Lian. et al

收稿日期:          年卷(期)页码:2015,46(3):422-425

期刊名称:四川大学学报(医学版)

Journal Name:JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION)

关键字:人乳头瘤病毒 多重感染 高危亚型 宫颈癌前病变 流行病学

Key words:Human papillomavirus Multiple infection High risk subtype Cervical precancerous disease Epidemiology

基金项目:

中文摘要

目的 检测四川地区HPV不同亚型及多重感染在不同宫颈病变中的感染情况,评价多重感染与宫颈癌前病变〔宫颈上皮内瘤变(CIN)〕的关系。方法 回顾分析2006年6月至2012年5月在我院门诊就诊的1 226例宫颈病变患者(均有病理活检结果),采用PCR-反向点杂交法检测HPV 23种亚型均为阳性结果,分为宫颈炎组、宫颈湿疣组、CINⅠ组、CINⅡ组、CINⅢ组进行分层分析。结果 ①宫颈炎组、宫颈湿疣组、CINⅠ组分别与CINⅡ、CINⅢ组相比较,低危型HPV构成比增加(PPPPPP>0.05)。结论 四川地区HPV病毒感染有一定的地域性特点,各种宫颈病变中低危型主要为HPV42、HPV43, 高危型主要为HPV58、HPV16、HPV52、HPV18, 病毒的多重感染似乎并不是导致宫颈病变进展的重要因素。

英文摘要

Objective To investigate the relationship of human papillomavirus (HPV) subtypes and multiple infections with different cervical precancerous diseases. Methods Retrospective study was done to review 1 226 patients with different cervical lesions who were pathologically diagnosed and scanned for HPV 23 subtypes with positive results from June 2006 to May 2012. These patients were divided into the following groups, chronic cervicitis, cervical condyloma, cervical intraepithelium neoplasia grade Ⅰ(CINⅠ) , grade Ⅱ(CINⅡ),gradeⅢ (CINⅢ). Results There were significant differences in the proportion of HPV low risk types and high risk types between cervicitis, condyloma, CINⅠgroup and CINⅡ+Ⅲ groups (PPPPP>0.05). Conclusion There is a unique epidemiologic characteristic of HPV infection in Sichuan Province. The HPV low risk types were mainly 42 and 43, and high risk types were mainly 58,16,52,18. It seems that HPV multiple infection is not the leading cause of progression of cervical disease.

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