首页|HPV感染患者SIL临床分级与HPV分型关系

HPV感染患者SIL临床分级与HPV分型关系

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目的:探究人乳头瘤病毒(HPV)感染患者子宫颈鳞状上皮内病变(SIL)临床分级与感染HPV分型的关系.方法:将2021年4月—2023年4月本院诊治的HPV感染的SIL患者300例临床资料,依据病变分级分为高级别SIL(HSIL)组100例、低级别SIL(LSIL)组200例.对比两组一般资料、HPV基因型分布,多因素logistic回归分析影响HPV感染者SIL临床分级的危险因素.结果:HSIL组年龄>40岁、性伴侣数≥2个患者占比高于LSIL组,高危型HPV 感染率高于 LSIL 组(P<0.05).HSIL 组中 HPV 感染率前两位为 HPV35(20.0%)和 HPV52(17.0%),LSIL组HPV感染感染率前两位为HPV39(19.5%)和HPV33(12.5%).年龄>40岁、性伴侣≥2个和HPV高危型为影响HPV感染患者SIL临床分级的独立危险因素(P<0.05);结论:年龄大、性伴侣多和HPV分型为高危均为HPV感染患者HSIL风险因素,且HPV35、HPV52、HPV39、HPV33等亚型在SIL病变患者中感染率较高,临床应给予高度重视.
Correlation between the clinical grade of cervical squamous intraepithelial lesions of patients with human papillomavirus in-fection(HPV)and their typing of HPV infected
Objective:To explore the correlation between the clinical grade of cervical squamous intraepithelial lesions(SIL)of patients with human papillomavirus(HPV)infection and their typing of HPV infected.Methods:The clinical data of 300 patients with SIL by HPV-infected who had treated in hospital from April 2021 to April 2023 were included in this study,including 100 cases with the high-grade SIL(HSIL)in group A and 200 cases with the low-grade SIL(LSIL)in group B.The general data and the genotype of HPV-infected of the patients were compared between the two groups.Multivariate logistic regression analysis was performed to analyze the risk factors affecting the clinical grade of SIL of the patients with HPV infection.The distribution of HPV genotypes of the patients in the two groups was ana-lyzed.Results:The proportions of the age>40 years old and the number of sexual partners ≥2 people,and the infec-tion rate of the high-risk HPV of the patients in group A were significantly higher than those of the patients in group B(P<0.05).The top two HPV infection rates of the patients in group A were HPV35(20.0%)and HPV52(17.0%),and the top two HPV infection rates of the patients in group B were HPV39(19.5%)and HPV33(12.5%).The age>40 years old,the number of sexual partners ≥2 people and the high-risk HPV infection of the patients were the in-dependent risk factors of their clinical grade of SIL(P<0.05).Conclusion:The advanced age,the more number of sexual partners and the high-risk HPV infection of the patients are all the influencing factors of their clinical grade of SIL,and the infection rates of HPV35,HPV52,HPV39,HPV33 and other subtypes of HPV of the patients with SIL are high,so which should be paid high attention in clinic.

Human papillomavirusCervical squamous intraepithelial lesionsClinical gradeTypingInfluence fac-tors

林黎莉、赵周英

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浙江省海盐县人民医院(314300)

浙江省绍兴市妇幼保健院

人乳头瘤病毒 子宫颈鳞状上皮内病变 临床分级 分型 影响因素

海盐县卫生健康系统科技计划(2023)

2023ws008

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(5)
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