首页|江门地区女性HPV感染、宫颈病变与阴道微生态的相关性分析

江门地区女性HPV感染、宫颈病变与阴道微生态的相关性分析

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目的 探讨广东省江门地区女性生殖道HPV感染、宫颈病变与阴道微生态的相关性,为本地区宫颈病变的防治提供新的依据.方法 回顾性分析8067 例TCT和HPV检测的女性资料,分析江门地区女性生殖道HPV感染、宫颈病变与阴道微生态的相关性.结果 纳入研究的 8067 例女性,阴道微生态乳酸杆菌少量/无 3267 例,占 40.50%,清洁度异常 1323 例,占 16.40%,细菌性阴道病2237 例,占27.73%,念珠菌感染1579例,占19.70%,滴虫感染223 例,占2.76%,从相关检验结果显示:女性HPV感染、宫颈病变与阴道微生态(乳酸杆菌、清洁度、细菌性阴道病、滴虫感染)密切相关(P<0.05),但与阴道念珠菌感染差异无统计学意义(P>0.05);结论 江门地区女性阴道微生态与HPV感染、宫颈病变密切相关,阴道微生态失衡,优势菌减少,菌群失衡,病原菌侵入,清洁度异常,增加HPV感染和宫颈病变发生的风险,因此,HPV感染、宫颈病变的预防可从改善女性阴道微生态入手.
Correlation Analysis of Female Genital HPV Infection,Cervical Lesions and Vaginal Microecology
Objective To explore and analyze the correlation between female genital HPV infection,cervical lesions and vaginal microecology,and to provide a new basis for the prevention and treatment of cervical lesions.Methods Data of 8067 female patients with TCT and HPV testing were retrospectively analyzed,and the correlation between genital HPV infection,cervical lesions and vaginal microecology in women in Jiangmen area was analyzed.Results Among the 8067 women includ-ed in the study,3267 cases had little or no vaginal microecological lactobacillus,accounting for 40.50%,1323 cases had ab-normal cleanliness,accounting for 16.40%,2237 cases had bacterial vaginosis,accounting for 27.73%,1579 cases had candida infection,accounting for 19.70%,223 cases had trichomonas infection,accounting for 2.76%.Rank correlation test showed that HPV infection and cervical lesions were closely correlated with vaginal microecology(Lactobacillus,cleanliness,bacterial vagi-nosis,trichomonas infection)(P<0.05),but had no significant correlation with vaginal candida infection(P>0.05).Conclusion Fe-male vaginal microecology is closely related to HPV infection and cervical lesions.Imbalance of vaginal microecology,reduc-tion of dominant bacteria,imbalance of bacterial flora,pathogen invasion and abnormal cleanliness increase the risk of HPV infection and cervical lesions.Therefore,prevention of HPV infection and cervical lesions can be started from improving female vaginal microecology.

HPV infectioncervical lesionsvaginal microecologycorrelation

林悦欢、詹雪梅、胡杏军、王嵘

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江门市中心医院,广东 江门 529030

HPV感染 宫颈病变 阴道微生态 相关性

江门市科技计划项目

2020020301130003139

2024

哈尔滨医药
哈尔滨市医学会

哈尔滨医药

影响因子:0.697
ISSN:1001-8131
年,卷(期):2024.44(2)
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