文章摘要
11058例女性宫颈HR-HPV感染特点分析
Characteristics of cervical HR-HPV infection in 11 058 women
投稿时间:2022-10-13  
DOI:10.3969/j.issn.1000-0399.2023.07.006
中文关键词: 人乳头瘤病毒  HR-HPV基因亚型  宫颈癌  年龄  年轻女性
英文关键词: Human papillomavirus  High-risk human papillomavirus genotypes  Cervical cancer  Age  Young women
基金项目:安徽省高等学校自然科学研究重点项目(编号:KJ2019A1096)
作者单位E-mail
罗肖肖 230041 安徽合肥 安徽省第二人民医院医学检验中心  
张良 230041 安徽合肥 安徽省第二人民医院医学检验中心  
秦莹 230041 安徽合肥 安徽省第二人民医院医学检验中心  
王学东 230041 安徽合肥 安徽省第二人民医院医学检验中心  
孙海一 230031 安徽合肥 安徽医科大学临床医学院 孙海一,mia6yi@163.com 
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中文摘要:
      目的 分析合肥市女性宫颈高危型人乳头瘤病毒(HR-HPV)感染特点及其亚型分布与年龄的关系,为HPV疫苗接种、宫颈癌早期防治提供数据参考。方法 选取2021年3月至2023年2月在安徽省第二人民医院就诊并自愿进行高危型HPV (HRHPV)基因分型检测的11 058例女性,受检者被分为5个年龄组(16岁~组、26岁~组、36岁~组、46岁~组、56~88岁组),运用多重荧光PCR技术检测受检者宫颈样本中15种HR-HPV基因亚型的分布情况。结果 11 058例受检者中HR-HPV阳性者共2 321例,HR-HPV感染率为20.99%。不同年龄组中,16岁~组的感染率最高(31.31%,P<0.05)。HR-HPV感染率随感染亚型数目的增加而减少,单一感染率最高,其次为双重感染。16岁~组多重感染率高于其余4组。各年龄组HR-HPV感染的优势亚型是52、53、16和58型,其中52型(5.68%,628/11 058)阳性率最高。结论 合肥地区女性HR-HPV感染分布存在年龄差异,年轻女性有着最高的感染率和严重的多重感染情况,HR-HPV感染的型别以52、53、16、58型为主。
英文摘要:
      Objective To analyze the infection status and distribution characteristics between subtypes and age of women in cervical high-risk human papillomavirus (HR-HPV) infection in Hefei, in order to provided the data reference for HPV vaccination and early prevention and treatment of cervical cancer. Methods From March 2021 to February 2023, a total of 11 058 female who voluntarily underwent highrisk HPV (HR-HPV) genotyping test were collected in Anhui No. 2 Provincial People’s Hospital. The subjects were divided into five age groups (16~25 years old group, 26~35 years old group, 36~45 years old group, 46~55 years old group, 56~88 years old group). Multiplex fluorescence PCR was used to detect 15 HR-HPV genotypes in cervical samples. Results Among the 11 058 tested subjects, 2 321were positive of HR-HPV. The infection rate of HR-HPV was 20.99%. 16~25 years old group had the highest infection rate of HR-HPV among different age groups (31.31%, P<0.05). The infection rate of HR-HPV decreased with the increase of the number of infected subtypes, with the highest single infection rate, followed by double infection. The multiple infection rate of 16~25 years old group was higher than that of the other four groups. The dominant subtypes of HR-HPV infection in each age group were 52, 53, 16 and 58, with the subtype 52 having the highest positive rate (5.68%, 628/11 058). Conclusion There is age differences in the distribution of HR-HPV infection among women in Hefei. Young women have the highest infection rate and severe multiple infection. The subtypes of HR-HPV are mainly 52, 53, 16 and 58.
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