首页|宫颈高危型人乳头瘤病毒感染致病机制及治疗研究进展

宫颈高危型人乳头瘤病毒感染致病机制及治疗研究进展

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人乳头瘤病毒(HPV)是一种具有特殊嗜上皮性的微小无包膜环状双链DNA病毒,是女性常见的性传播疾病之一,目前已发现200多种不同的HPV基因型。持续性高危型HPV感染与宫颈、阴道上皮内瘤变及宫颈癌密切相关,早期缺乏典型临床症状,严重危害女性健康。最新研究将HPV-DNA定量及HPV E6/E7基因检测作为HPV感染的诊断依据和疗效评价指标。现阶段,治疗宫颈高危型HPV感染的方法主要有物理治疗、药物治疗、手术治疗及HPV疫苗干预等。由于HPV具有复杂的免疫逃逸机制,传统治疗方法存在治疗周期长、复发率高、需多次手术的不足,且可能发生宫颈机能不全及流产等并发症。本研究就近年来宫颈高危型HPV致病机制与治疗进展进行综述,为临床提供新的诊疗思路。
Research progress on pathogenic mechanism and treatment of high-risk cervical human papillomavirus infection
Human papillomavirus(HPV)is a small,non enveloped circular double stranded DNA virus with special epitheliophilicity,which is one of the common sexually transmitted diseases in women.Currently,more than 200 different HPV genotypes have been discovered.Persistent high-risk HPV infection is closely related to cervical and vaginal intraepithelial neoplasia and cervical cancer,and lacks typical clinical symptoms in the early stages,seriously endangering women's health.The latest research uses HPV DNA quantification and HPV E6/E7 gene testing as diagnostic criteria and efficacy evaluation indicators for HPV infection.At present,the main methods for treating high-risk cervical HPV infections include physical therapy,drug therapy,surgical treatment,and HPV vaccine intervention.Due to the complex immune escape mechanism of HPV,traditional treatment methods have shortcomings such as long treatment cycles,high recurrence rates,multiple surgeries,and the possibility of complications such as cervical dysfunction and miscarriage.This study reviews the pathogenesis and treatment progress of high-risk cervical HPV in recent years,providing new diagnostic and therapeutic ideas for clinical practice.

Papillomavirus infectionsHigh-risk human papillomavirus

许颖、佐满珍、黄凤

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三峡大学人民医院妇产科,宜昌 443000

宜昌市中心人民医院妇产科,宜昌 443000

乳头状瘤病毒感染 高危型人乳头瘤病毒

宜昌市2019年度科技计划项目

A19-301-27

2024

中国医师杂志
中华医学会 湖南省医学会

中国医师杂志

CSTPCD
影响因子:0.876
ISSN:1008-1372
年,卷(期):2024.26(8)