首页|武汉市武昌区11 826例适龄妇女免费宫颈癌筛查HPV感染情况调查分析

武汉市武昌区11 826例适龄妇女免费宫颈癌筛查HPV感染情况调查分析

Investigation and analysis of HPV infection in 11 826 age-appropriate women for free cervical cancer screening in Wuchang district,Wuhan

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目的:统计武汉市武昌区2022年11 826例适龄妇女宫颈癌筛查项目中人乳头状瘤病毒(HPV)感染情况,分析本地区适龄妇女HPV感染的流行学特征及其与子宫颈上皮内病变的关系.方法:选取武汉市武昌区2022年1月1日至8月7日接受免费宫颈癌筛查的11 826名适龄妇女作为对象,同时进行人工智能宫颈液基细胞学检查(TCT)、人乳头瘤病毒(HPV)检测,初筛阳性患者进行组织病理学检查.采用SPSS 27.0对HPV感染亚型检出率、不同年龄HPV感染亚型分布、不同亚型HPV感染与子宫颈上皮内病变程度的关系等进行统计学分析.结果:武昌区11 826名适龄妇女宫颈癌筛查HPV感染率为10.37%(1 226/11 826),15种HPV亚型中,感染检出率最高的前3位分别是HPV52(3.26%)、HPV58(1.46%)、HPV16(1.21%).武昌地区HPV检出率最高的年龄段为55~59岁,其次为30~34岁,感染HPV亚型前3位分别是52、58、16型.根据筛查程序共有487名妇女进行了阴道镜及子宫颈病理学检查,其中宫颈癌及癌前病变患者59人,HPV亚型感染率前3位分别是HPV16(45.76%)、HPV52(23.73%)、HPV58(15.25%).宫颈癌及癌前病变患者中,多重HPV感染发生率7.75%(10/129),是单一HPV感染发生率 4.47%(49/1 097)的 1.73倍.结论:武昌区适龄妇女HPV感染率 10.37%,亚型检出率前 3位分别是HPV52、58、16 型,HPV感染发生的高峰年龄段为 55~59 岁及 30~34 岁,上述年龄段HPV感染的主要亚型为HPV52、58、16型,这3种亚型在高级别子宫颈上皮内病变患者中的检出率也最高,与既往国外报道的HPV18亚型是最常见致癌亚型略有不同,宫颈癌及癌前病变患者中,多重HPV感染发生率是单一HPV感染发生率的1.73倍.
Objective:To retrospectively analyze cervical screening data from 11 826 women of appropriate age in Wuchang in 2022,to determine the prevalence of human papillomavirus(HPV)in the popula-tion of Wuchang District,Wuhan,China,and to further analyze the possible relationship between HPV and cervical lesions.Methods:A total of 11 826 women aged 30-65 years in Wuchang District,Wuhan City from January 1,2022,to August 7,2022,were selected for HPV detection by artificial intelligence cytological examination(TCT)and cervical cancer screening.SPSS 27.0 was used to ana-lyze the detection rate of HPV infection subtypes,the distribution of HPV subtypes at different ages,and the relationship between HPV subtypes and the degree of cervical intraepithelial lesions.Results:The HPV infection rate was 10.37%(1 226/11 826).Among the 15 HPV subtypes,the top three with the highest infection rate were HPV52(3.26%),HPV58(1.46%),and HPV16(1.21%).The age group with the highest HPV detection rate was the 55-59-year-old group,followed by the 30-34-year-old group,and the top three subtypes with the highest infection detection rate were HPV52,HPV58,and HPV16.According to the screening process,a total of 487 women underwent colposco-py and cervical pathology examinations,and 59 of them were diagnosed with cervical cancer and pre-cancerous lesions.The top three HPV subtypes with the highest infection rate were HPV16(45.76%),HPV52(23.73%),and HPV58(15.25%),respectively.In the patients with cervical can-cer and precancerous lesions,the incidence of multiple HPV infections was 7.75%(10/129),which was 1.73 times higher than the incidence of single HPV infections at 4.47%(49/1 097).Conclusion:The HPV infection rate in Wuchang District was 10.37%,the top three subtypes with the highest in-fection detection rate were HPV52,HPV58,and HPV16.The age group with the highest HPV de-tection rate was 55-59 years old,followed by 30-34 years old,and the top three subtypes were HPV52,HPV58,and HPV16.The detection rates of HPV52,HPV58,and HPV16 were also the highest in patients with high-grade cervical intraepithelial lesions,which was slightly different from the HPV18 subtype reported abroad as the most common carcinogenic subtype.In patients with cervical cancer and precancerous lesions,the incidence of multiple HPV infections was 1.73 times of that of single HPV infection.

Human PapillomavirusGene SubtypeCervical CancerPrecancerous Lesions

李莹、卢媛、张燕、刘婷婷

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武汉市武昌区妇幼保健院保健部 湖北 武汉 430060

武汉大学人民医院心内科 湖北 武汉 430060

湖北省妇幼保健院妇女保健科 湖北 武汉 430070

人乳头状瘤病毒 基因亚型 宫颈癌 癌前病变

2024

武汉大学学报(医学版)
武汉大学

武汉大学学报(医学版)

CSTPCD
影响因子:0.959
ISSN:1671-8852
年,卷(期):2024.45(11)