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慢性宫颈炎合并HPV感染患者炎性因子水平与预后的相关性

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目的 探究慢性宫颈炎合并人乳头状瘤病毒(human papillomavirus,HPV)感染患者炎性因子水平及与预后的相关性.方法 选取 2022 年 1 月至 2023 年 12 月时间段,于笔者医院进行慢性宫颈炎合并HPV感染治疗的患者 100 例,作为观察组.其中,100 例患者中低危型HPV患者为67 例,高危型HPV患者33 例.同期选取笔者医院100名健康体检女性人员,作为对照组.患者均进行常规治疗.检测C反应蛋白(C-reactive protein,CRP)、白细胞介素(interleukin,IL)-6、血清淀粉样蛋白A(serum amyloid A,SAA)水平,对患者进行治疗后行为期 6 个月的随访,观察预后情况.结果 与对照组比较,观察组CRP、IL-6、SAA水平表达升高(P<0.05);与低危型HPV组比较,高危型HPV组CRP、IL-6、SAA水平表达升高(P<0.05);与预后良好组患者比较,预后不良组患者CRP、IL-6、SAA水平表达升高(P<0.05);CRP、IL-6、SAA与低危型HPV、高危型HPV之间呈正相关,差异有统计学意义(P<0.05);CRP、IL-6、SAA与预后良好组之间均呈负相关,CRP、IL-6、SAA与预后不良组之间均呈正相关,差异有统计学意义(P<0.05).受试者操作特征(receiver operating characteristic,ROC)曲线分析结果显示,与CRP、IL-6、SAA单项诊断比较,联合检测对慢性宫颈炎合并HPV感染的诊断价值较高(P<0.05).结论 慢性宫颈炎合并HPV感染患者体内CRP、IL-6、SAA表达水平升高,其表达水平的异常升高或降低是慢性宫颈炎合并 HPV 感染的风险预测因子,可能与病情的诊断、病理特征情况、疾病发展及预后情况等具有紧密关联.
Level of inflammatory factors and correlation with prognosis in chronic cervicitis patients with HPV infection
Objective To explore the level of inflammatory factors and their correlation with prognosis in chronic cervicitis patients with human papillomavirus(HPV)infection.Methods Totally 100 patients from January 2022 to December 2023 were selected as the observation group.Among them,67 patients were 100 patients with low-risk HPV and 33 patients with high-risk HPV.At the same time,100 female personnel with physical examination in our hospital were selected as the control group.All of the patients were treated routinely.The C-reactive protein(CRP),interleukin(IL)-6,and serum amyloid A(SAA)levels were measured,and the patients were followed up for 6 months after treatment to observe the prognosis.Results Compared with the control group,The expression of CRP,IL-6 and SAA level increased in the observation group(P<0.05),Compared with the low-risk HPV group,The expression of CRP,IL-6 and SAA level increased in high-risk HPV group(P<0.05).Compared with patients with a good prognosis,Higher expression of CRP,IL-6 and SAA in patients with poor prognosis(P<0.05).The positive correlation between CRP,IL-6,SAA and low-risk HPV and high-risk HPV,Statistical difference(P<0.05).Negative correlation between CRP,IL-6,SAA and good prognosis,All showed a positive correlation between CRP,IL-6,and SAA and poor prognosis,There were statistical differences(P<0.05).Receiver operating characteristic(ROC)curve analysis showed that the diagnostic value of CRP,IL-6 and SAA(P<0.05).Conclusion Patients with chronic cervicitis have increased CRP,IL-6 and SAA in HPV infection,and the abnormal increased or decreased expression level is the risk predictor of chronic cervicitis with HPV infection,which may be closely related to the diagnosis of the disease,pathological characteristics,disease development and prognosis.

Chronic cervicitisHuman papilloma virus infectionInflammatory factorClinicopathological features

华超杰、吕芸、贺倩倩、陈琼颖

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舟山市妇女儿童医院妇产科,浙江舟山 3160001

慢性宫颈炎 人乳头状瘤病毒感染 炎性因子 临床病理特征

浙江省舟山市科技计划

2023C31013

2024

中国现代医生
中国医学科学院

中国现代医生

影响因子:1.571
ISSN:1673-9701
年,卷(期):2024.62(23)
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