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漳州地区2021-2022年农村妇女HPV感染基因分型检测结果分析

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目的 针对漳州地区 2021-2022 年农村妇女人乳头状瘤病毒(human papilloma virus,HPV)检测结果进行分析,探讨漳州地区农村妇女的HPV感染基因分型情况。方法 本研究于 2021-2022 年对 76 505 名漳州地区农村妇女进行HPV检测,其中检查类型为HPV21 种基因型别,对妇女进行宫颈脱落细胞检测,分析漳州地区农村妇女的HPV感染情况,并对单重感染、双重感染、三重感染和多重感染情况和HPV各亚型感染情况进行分析。结果 2021 年检测的 45 838 名中共检测出 4 376 例阳性(9。55%),2022 年检测的 30 667 名中共检测出3 886 例阳性(12。67%),2021 年与 2022 年阳性感染率比较,差异有统计学意义(P<0。05)。其中单重感染为6 515例(8。52%),双重感染为 1 284 例(1。68%),三重感染为 332 例(0。43%),多重感染为 131 例(0。17%)。HPV基因感染亚型主要包括HPV52、HPV58、HPV16、HPV53、HPV39、HPV CP8304等,在 2 年中所占比例较高,其中 2021 年与 2022 年高危型HPV基因亚型中,HPV52(1。87%、2。27%)、HPV16(1。02%、1。12%)、HPV58(0。82%、1。36%)、HPV39(0。91%、1。08%)、HPV51(0。46%、1。05%);2021 年中危型 HPV 基因分型的分布情况与 2022 年比较,差异无统计学意义(P>0。05)。2021 年低危型HPV基因分型与 2022 年比较,差异有统计学意义(P<0。05),以HPV CP8304 感染率较高,分别为 0。67%、1。32%。综合 2 年间漳州地区农村妇女的HPV感染亚型可见,高危型HPV基因亚型感染率最高,可达 81。10%、76。94%,差异有统计学意义(P<0。05)。结论 对漳州地区 2021-2022 年农村妇女进行HPV检测发现,漳州地区近年来农村妇女的HPV感染率较高,且感染的HPV基因分型较多,且多为单重感染,其中以HPV16、HPV52、HPV58 等基因分型感染率高,应加以重视,对HPV感染人群加强宫颈病变筛查意识,进行定期复查,有效预防子宫颈癌。
Analysis of Genotyping Results of HPV Infection in Rural Women in Zhangzhou From 2021 to 2022
Objective The detection results of human papilloma virus(HPV)in rural women in Zhangzhou from 2021 to 2022 were analyzed,and the genotyping of HPV infection in rural women in Zhangzhou was discussed.Methods In this study,a total of 76 505 rural women in Zhangzhou were tested for HPV from 2021 to 2022.The testing type was HPV21 genotype,and cervical exfoliated cells were tested to analyze the HPV infection status of rural women in the area.Single infection,double infection,triple infection,and multiple infection,as well as the infection status of various subtypes of HPV,were also analyzed.Results A total of 4 376 positive cases(9.55%)were detected in 45 838 subjects tested in 2021,and 3 886 positive cases(12.67%)were detected in 30 667 subjects tested in 2022.There was statistical significance in the positive infection rate between 2021 and 2022(P<0.05).There were 6 515 cases of single infection(8.52%),1 284 cases of double infection(1.68%),332 cases of triple infection(0.43%),and 131 cases of multiple infection(0.17%).Among them,HPV gene infection subtypes mainly include HPV52,HPV58,HPV16,HPV53,HPV39,HPV CP8304,etc.,among the high-risk HPV gene subtypes in 2021 and 2022,accounting for a high proportion in 2 years,among which high-risk HPV gene subtypes in 2021 and 2022,HPV52(1.87%,2.27%),HPV16(1.02%,1.12%),HPV58(0.82%,1.36%),HPV39(0.91%,1.08%),HPV51(0.46%,1.05%).There was no statistical significance in the distribution of middle-risk HPV genotypes in 2021 compared with 2022(P>0.05).There was significant difference between the genotypes of low-risk HPV in 2021 and 2022(P<0.05),but the infection rate of HPV CP8304 was higher(0.67%and 1.32%,respectively).The HPV infection subtypes of rural women in Zhangzhou in the past 2 years were summarized,and the infection rates of high-risk HPV gene subtypes were the highest,reaching 81.10%and 76.94%,but the difference was statistically significant(P<0.05).Conclusion HPV testing of rural women in Zhangzhou from 2021 to 2022 found that rural women in this region have a high HPV infection rate,and the HPV genotypes infected are more,and most of them are single infections,among which the infection rates of HPV16,HPV52,HPV58 and other genotypes are high,which should be paid attention to.Strengthen the awareness of cervical disease screening for HPV infected people,conduct regular review,and effectively prevent cervical cancer.

Zhangzhourural womencervical cancer screeningHPV testingprevention of diseaseanalysis of results

陈田田、胡碧丽

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漳州市妇幼保健院检验科,福建 漳州 363007

漳州 农村妇女 子宫颈癌筛查 HPV检测 预防患病 结果分析

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(14)