[1]吴晓康a,张 妮a,尹佳锋a,等.西安地区健康体检女性HPV 感染状况及基因型别分析[J].现代检验医学杂志,2022,37(04):139-142.[doi:10.3969/j.issn.1671-7414.2022.04.027]
 WU Xiao-kanga,ZHANG Nia,YIN Jia-fenga,et al.Analysis of HPV Infection Status and Genotype in Women Undergoing Physical Examination in Xi’an[J].Journal of Modern Laboratory Medicine,2022,37(04):139-142.[doi:10.3969/j.issn.1671-7414.2022.04.027]
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西安地区健康体检女性HPV 感染状况及基因型别分析()
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《现代检验医学杂志》[ISSN:/CN:]

卷:
第37卷
期数:
2022年04期
页码:
139-142
栏目:
论著
出版日期:
2022-07-15

文章信息/Info

Title:
Analysis of HPV Infection Status and Genotype in Women Undergoing Physical Examination in Xi’an
文章编号:
1671-7414(2022)04-139-04
作者:
吴晓康a张 妮a尹佳锋a刘海龙a靳 莉a吴晓玲b李妙羡a耿 燕a
西安交通大学第二附属医院a. 检验科;b. 妇产科,西安710004
Author(s):
WU Xiao-kanga ZHANG Nia YIN Jia-fengaLIU Hai-longa JIN Lia WU Xiao-lingb LI Miao-xiana GENG Yana
a.Department of Clinical Laboratory;b.Department of Obstetrics and Gynecology, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710004, China
关键词:
人乳头瘤病毒(HPV)感染率基因分型
分类号:
R373.9;R446.7
DOI:
10.3969/j.issn.1671-7414.2022.04.027
文献标志码:
A
摘要:
目的 分析西安地区女性人乳头瘤病毒(human papilloma virus,HPV)感染状况及基因型的分布情况,为其防治提供依据。方法 选择2019 年4 月~ 2021 年12 月在西安交通大学第二附属医院健康体检的10 772 例女性人群为研究对象,应用PCR-反向杂交法对受检者宫颈脱落细胞样本进行28 种HPV 亚型检测,并将该研究结果与省内及国内其他地区报道结果进行比较分析。结果 检测的10 772 例样本中,有952 例HPV 阳性,感染率为8.84%;共检出27 种HPV 亚型,感染例次前四位的基因型别依次为HPV52,HPV53,HPV16 和HPV42;在HPV 感染类型中,单一型感染最多,共769 例,占比80.78%;各年龄段中,<25 岁和54 ~ <64 岁年龄段女性 HPV 感染率较高,各年龄组HPV 基因型别以高危型别为主,除<25 岁组(χ2=5.17,P=0.075)外,其他5 个年龄组高危型别感染例次与中危型、低危型别感染例次的差异均有统计学意义(χ2=88.60, 98.41,77.01,37.71,8.76,均P<0.05);该研究结果与省内及国内其他地区报道的结果比较发现,国内女性HPV 感染均以单一型感染、高危基因型别为主,而在HPV 感染率、主要基因型别及高发年龄段上,结果有所不同。结论 西安地区女性人群以高危型HPV 感染为主,其中单一感染最多,青年和中老年女性群体HPV 感染率相对较高。及时了解该地区HPV 感染流行状况,做好HPV 筛查工作,对于女性宫颈癌的预防和治疗具有重要意义。
Abstract:
Objective To analyze the infection status and genotype distribution of female human papillomavirus (HPV) in Xi’an, and to provide evidence for its prevention and treatment. Methods A total of 10 772 women undergoing physical examination in the Second Affiliated Hospital of Xi’an Jiaotong University from April 2019 to December 2021 were selected as the subjects, PCR-reverse hybridization was used to detect 28 kinds of HPV subtypes in cervical exfoliated cells,and the results of this study were compared and analyzed with those reported whithin the province and other areas in China. Results Of 10 772 samples tested, 952 were HPV-positive, with an infection rate of 8.84%. A total of 27 types of HPV subtypes were detected. The top four genotypes were HPV52, HPV53,HPV16 and HPV42,single type infection was the most common among the types of HPV infection , with 769 cases, accounting for 80.78% of the total number of infections; among all age groups, HPV infection rate was higher in patients younger than 25 years and patients aged 54 to 64 years or younger than 64 years.HPV genotypes were mainly high-risk,except for the group younger than 25 years old(χ2=5.17, P=0.075), there were significant differences in the number of high-risk cases and that of medium-risk and low-risk cases in the other five age groups (χ2=88.60, 98.41, 77.01, 37.71, 8.76,all P<0.05). The results of this study were compared with those reported whithin the province and other regions of China, and it was found that HPV infection of domestic women was dominated by single infection and high-risk genotypes. However, the results of this study were different in HPV infection rate, main genotypes and age groups of high incidence. Conclusion The women in Xi’an were mainly infected with high-risk HPV, and single infection was the most common. HPV infection rate was relatively high in young and middle-aged women. It is of great significance for the prevention and treatment of cervical cancer to timely understand the epidemic situation of HPV infection in this area and to do well in HPV screening.

参考文献/References:

[1] 吴雪燕, 周遵伦, 张梅. 阴道微环境与人乳头瘤病毒感染及宫颈上皮内瘤变相关性的研究进展[J]. 贵州医药, 2021, 45(2):191-193. WU Xueyan, ZHOU Zunlun, ZHANG Mei,et al.Research progress of correlation between vaginal microenvironment and human papillomavirus infection and cervical intraepithelial neoplasia[J]. Guizhou Medical Journal,2021,45(2):191-193.
[2] OKUNADE K S. Human papillomavirus and cervical cancer[J]. Journal of Obstetrics and Gynaecology, 2020,40(5): 602-608.
[3] 张仕华, 孙辉, 杜彦丹. 人乳头瘤病毒感染与生殖器病变关系的研究进展[J].中国医药导报, 2020, 17 (4):48-51. ZHANG Shihua, SUN Hui, DU Yandan . Advancesin research on the relationship between human papillomavirus infection and genital lesions [J]. China Medical Herald,2020,17(4): 48-51.
[4] DE SANJOS? S, SERRANO B, TOUS S, et al. Burden of human papillomavirus (HPV)-related cancers attributable to HPVs 6/11/16/18/31/33/45/52 and 58[J].JNCI Cancer Spectrum, 2018, 2(4): pky045.
[5] CHIN-HONG P V, REID G E. AST infectious diseases community of practice. human papillomavirus infection in solid organ transplant recipients:guidelines from the American society of transplantation infectious diseases community of practice[J]. Clinical Transplantation,2019, 33(9): e13590.
[6] 杜伟平, 米思蓉, 王丽, 等. 延安地区妇女HPV 基因分型及临床相关研究[J]. 现代检验医学杂志, 2018,33 (1): 109-111, 114. DU Weiping, MI Sirong, WANG Li, et al. HPV genotyping and clinical studies of women in Yan’an area [J]. Journal of Modern Laboratory Medicine,2018,33(1):109-111, 114.
[7] 原荣, 李军, 南星, 等.陕西省宝鸡和咸阳两地妇女HPV 感染现状和类型分析[J]. 现代检验医学杂志,2017, 32(6): 145-146, 150. YUAN Rong, LI Jun, NAN Xing, et al. HPV prevalence and subtypes analysis of women in Baoji and Xianyang area of Shaanxi province [J]. Journal of Modern Laboratory Medicine,2017,32(6):145-150
[8] 原荣, 李军, 南星, 等.陕西省安康和延安两地区妇女HPV 感染及型别分布对比研究[J]. 现代检验医学杂志, 2017, 32(2): 64-66. YUAN Rong, LI Jun,NAN Xing,et al. Comparative study on HPV infection and hypotype distribution between Ankang and Yan’an area of Shaanxi province [J]. Journal of Modern Laboratory Medicine,2017,32(2):64-66.
[9] 龚娅, 段德令, 何雄, 等.广州地区女性泌尿生殖道HPV 感染特征及混合感染基因型分析[J]. 国际检验医学杂志, 2021, 42(10):1238-1241, 1245. GONG Ya, DUAN Deling, HE Xiong, et al. Analysis of HPV infection characteristics and mixed infection genotypes in female genitourinary tract in Guangzhou area [J]. International Journal of Laboratory Medicine,2021,42(10):1238-1241, 1245.
[10] 李翔, 马宁耶, 张瑶.4 万余例沈阳地区妇女HPV 感染情况分析[J]. 现代肿瘤医学, 2022, 30(5): 884-887. LI Xiang, MA Ningye, ZHANG Yao. Analysis of HPV infection in nearly 40 000 women in Shenyang [J].Journal of Modern Oncology,2022,30(5):884-887
[11] 吴道远, 刘慧, 陈广军, 等. 河南地区22 673 例女性HPV 感染状况及分型研究[J]. 检验医学与临床,2020, 17(23): 3404-3405, 3413. WU Daoyuan, LIU Hui, CHEN Guangjun, et al.Study on HPV infection status and typing of 22 673 women in Henan area[J]. Laboratory Medicine and Clinic,2020,17(23):3404-3405, 3413.
[12] 曹杰贤, 李雪菲, 沈国玲, 等. 云南7 个地区女性HPV 亚型感染情况调查[J]. 检验医学与临床, 2021,18 (6): 789-792. CAO Jiexian, LI Xuefei, SHEN Guoling, et al.Research of HPV subtype infection in 7 areas of Yunnan [J]. Laboratory Medicine and Clinic, 2021,18(6):789-792.
[13] EUN T J, PERKINS R B. Screening for cervical cancer[J]. Med Clin North Am. 2020, 104(6):1063-1078.
[14] 赵超, 赵昀, 崔淑慧, 等.子宫颈液基细胞学、高危型HPV 及联合检测在子宫颈癌机会性筛查中的价值[J].中国妇产科临床杂志, 2016, 17(2):119-121. ZHAO Chao, ZHAO Yun, CUI Shuhui, et al. Evaluation of cytology and HR-HPV test in cervical lesion opportunistic screening of women [J]. Chinese Journal of Clinical Obstetrics and Gynecology, 2016, 17(2):119-121.
[15] 徐帅师, 聂文佳, 张咏梅. 宫颈人乳头瘤病毒感染治疗方法研究进展[J]. 病毒学报, 2021, 37(3): 740-747. XU Shuaishi, NIE Wenjia, ZHANG Yongmei. Research progress in the treatment of cervical human papillomavirus infection [J]. Chinese Journal of Virology,2021,37(3):740-747.
[16] 陈婷婷, 汤雅玲. 厦门地区49 652 例女性高危型HPV 感染情况及年龄分布[J]. 中国现代医生, 2021,59(15):62-64. CHEN Tingting, TANG Yaling. High-risk HPV infection status and age distribution among 49 652 women in Xiamen[J]. China Modern Doctor, 2021, 59(15): 62-64.
[17] 王艳.液基细胞、HPV 检测与阴道镜宫颈癌的筛查方面的应用研究[J]. 中国医疗器械信息, 2018, 24(20):56-57. WANG Yan. Clinical application of liquid-based cytology, HPV-DNA or colposcopy in cervical cancer screening[J]. China Medical Device Information. 2018,24 (20):56-57.

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备注/Memo

备注/Memo:
基金项目:中央高校基本科研业务费专项资金资助(xjj2015151)。
作者简介:吴晓康(1977-),男,研究生,副主任技师,主要从事感染性疾病分子诊断,E-mail:wxk111506@sohu.com。
通讯作者:耿燕(1967-),女,硕士生导师,主任技师,主要从事感染性疾病诊断。
更新日期/Last Update: 1900-01-01