首页|梧州地区2 237例女性人乳头瘤病毒感染现状分析

梧州地区2 237例女性人乳头瘤病毒感染现状分析

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目的 分析梧州地区女性人乳头瘤病毒(human papillomavirus,HPV)感染率、亚型分布及其年龄分布特点.方法 采取随机抽样方法,抽取2019年7月至2022年7月在梧州市工人医院门诊受检的2 237例女性宫颈分泌物标本.采用聚合酶链反应(PCR)-反向杂交法进行HPV基因分型检测,分析HPV感染率、亚型分布,并将所有受检者分为10个年龄组,分析不同年龄组女性的HPV感染情况.采用SPSS 25.0软件进行统计分析.结果 ①梧州市16~82岁妇女HPV的感染率为34.3%.②HPV感染亚型的分布特点:总体感染率由高到低位于前 5 位的亚型分别为 HPV-52(29.6%)、HPV-16(15.1%)、HPV-58(14.2%)、HPV-51(9.6%)和HPV-53(9.6%);以单一感染(76.2%)和双重感染(17.3%)为主.③ HPV感染的年龄分布特点:不同年龄组HPV感染率差异有统计学意义(x2=24.53,P=0.004),其中≥61岁组感染率最高(44.7%),其次为21~25岁组(44.4%),再次是≤20岁组(41.2%);感染率最低为41~45岁(25.6%),其余年龄段组感染率较为均衡,约34.0%.结论 梧州地区女性HPV感染以52、16、58亚型为主,且不同年龄段女性HPV感染存在差异,在16-82岁年龄段,提示应加大对25岁以下及60岁以上女性的筛查力度.
Analysis of women papillomavirus infection in 2 237 women in Wuzhou area
Objective To analyze the infection rate,subtype distribution and age distribution characteristics of human papillomavirus(HPV)in women in Wuzhou area.Methods A total of 2 237 female cervical secretions were collected from the Outpatient Department of Wuzhou Workers'Hospital from July 2019 to July 2022 by random sampling.Polymerase chain reaction(PCR)-reverse hybridization was used to detect HPV genotyping,and the HPV infection rate and subtype distribution were analyzed.All the subjects were divided into 10 age groups,the HPV infection of women in different age groups was analyzed.SPSS 25.0 software was used for statistical analysis.Results ① The HPV infection rate of women aged 16~82 years in Wuzhou City was 34.3%.② The distribution characteristics of HPV infection subtypes:the top five subtypes in the overall infection rate from high to low were HPV-52(29.6%),HPV-16(15.1%),HPV-58(14.2%),HPV-51(9.6%)and HPV-53(9.6%);the main infection rate were single infection(76.2%)and double infection(17.3%).③ The age distribution characteristics of HPV infection:there were significant differences in HPV infection rates among different age groups(x2=24.53,P=0.004),among them,the infection rate of≥61 years old group was the highest(44.7%),followed by 21~25 years old group(44.4%),and then ≤20 years old group(41.2%);The lowest infection rate was 41~45 years old(25.6%),and the infection rate of the other age groups was relatively balanced,about 34.0%.Conclusion HPV infection in women in Wuzhou area is dominated by 52,16 and 58 subtypes,and there are differences in HPV infection among women of different ages,suggesting that more efforts should be made to screen women under the age of 25 and over the age of 60.

human papillomavirussubtypecervical cancer

吴坚、张琳、何妍谊、陈清煦

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543000 广西 梧州,梧州市工人医院妇产科

人乳头瘤病毒 亚型 宫颈癌

梧州市科学研究与技术开发计划

201902091

2024

中国计划生育和妇产科
中国医师协会 四川省医学情报研究所

中国计划生育和妇产科

CSTPCD
影响因子:1.116
ISSN:1674-4020
年,卷(期):2024.16(8)