人乳头瘤病毒, 基因分型,宫颈细胞学检查,四价疫苗," /> 人乳头瘤病毒, 基因分型,宫颈细胞学检查,四价疫苗,"/> Human papilloma virus, Genotyping, Cervical cytology test,Tetravalent vaccine,"/> <span style="font-size:14px;line-height:2;">宫颈疾病患者的人乳头瘤病毒分型检测 </span><span style="font-size:14px;line-height:2;">结果及组织病理分析</span><span style="font-size:14px;line-height:2;"></span>
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发育医学电子杂志  2021, Vol. 9 Issue (2): 139-142    DOI: 10.3969/j.issn.2095-5340.2021.02.010
  结构畸形   论著 |
宫颈疾病患者的人乳头瘤病毒分型检测 结果及组织病理分析
董艳 童胜兰 吴洋 向长港
(武汉市江夏区第一人民医院 检验科,湖北 武汉 430200)
Analysis of the human papilloma virus genotyping and histopathological results in patient with cervical disease
Dong Yan, Tong Shenglan, Wu Yang, et al
(Department of Clinical Laboratory, the First People's Hospital of Jiangxia District of Wuhan, Hubei, Wuhan 430200, China)
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摘要 【摘要】 目的  评估宫颈疾病患者中人乳头瘤病毒(human papilloma virus,HPV)的基因分型及组织病
理结果。 方法 对2017 年8 月至2018 年8 月来武汉市江夏区第一人民医院就诊的1 963 例宫颈疾病
患者采用定量荧光PCR 仪检测HPV 分型,并进行组织病理学检查。计数资料组间比较采用χ2 检验。
P<0.05 为差异有统计学意义。 结果  受检者中,共检测出HPV 感染者447 例次(多重感染重复计算),
基因型17 种,平均年龄(39.0±1.4)岁。其中435 例次高危HPV 感染、12 例低危HPV 感染。HPV52 型
感染率最高,为18.6%,其次是HPV16 型,为10.7%,而HPV18 型和6/11 型也占一定比例,分别为4.0%
和2.7%。检出宫颈上皮内瘤变(cervical intraepithelial neoplasia,CIN)Ⅱ、Ⅲ级者70 例次,宫颈癌29 例,HPV16 型感染者CIN Ⅱ、Ⅲ及宫颈癌发生率高于HPV18、39、53、58 型感染者(χ2 值分别为7.64、12.17、10.22、10.21,P<0.05)。 结论 高危型HPV16、18 在江夏区所有HPV 阳性基因型中占很高的比例,低危型HPV6/11 也占有一定比例,四价疫苗对这些宫颈疾病患者有重大的预防意义。

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关键词:  人乳头瘤病毒')" href="#">人乳头瘤病毒  基因分型  宫颈细胞学检查  四价疫苗    
Abstract: 【Abstract】 Objective To assess the genotyping of human papilloma virus (HPV) and histopathological
results in patients with cervical disease. Methods A total of 1 963 patients with cervical disease from the
First People's Hospital of Jiangxia District, Wuhan City between August 2017 and August 2018 received
HPV genotyping using fluorescence quantitative PCR and histopathological examination. Results 
Among the 1 963 patients,447 with HPV infection and 17 kinds of HPV genotypes were detected,
their average age were (39.0±1.4) years old. Of which 435 patients were infected by high-risk types
and 12 cases were infected by low-risk types (repeated calculation for multiple infections). The infection
rate of HPV52 was the highest with 18.6%, followed by HPV16 with 10.7%, and type 18 and type 6/11
also account for a certain proportion (4.0% and 2.7% respectively). Cervical intraepithelial neoplasia
(CIN) Ⅱand Ⅲ were detected in 70 cases,and 29 cases of cervical cancer. The incidence of
CINⅡand Ⅲand cervical cancer in HPV16 infection group was significantly higher than that in
HPV18, 39, 53 and 58 infected patients (χ2 =7.64, 12.17, 10.22, 10.21, respectively, P<0.05).
Conclusions High-risk HPV16, HPV18 accounted for a high proportion of all HPV positive genotypes
in Jiangxia district, and low-risk HPV6/11 also accounted for a certain proportion. The tetravalentvaccine has significant preventive significance for these patient s with cervical diseases.


Key words:  Human papilloma virus')" href="#">Human papilloma virus    Genotyping    Cervical cytology test    Tetravalent vaccine
收稿日期:  2020-10-11                     发布日期:  2021-04-01     
基金资助: 病毒学国家重点实验室开放研究基金(2018KF007)
通讯作者:  向长港    E-mail:  Email:xcg-0412@163.com
引用本文:    
董艳 童胜兰 吴洋 向长港. 宫颈疾病患者的人乳头瘤病毒分型检测 结果及组织病理分析[J]. 发育医学电子杂志, 2021, 9(2): 139-142.
Dong Yan, Tong Shenglan, Wu Yang, et al. Analysis of the human papilloma virus genotyping and histopathological results in patient with cervical disease. Journal of Developmental Medicine(Electronic Version), 2021, 9(2): 139-142.
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http://www.fyyxzz.com/CN/10.3969/j.issn.2095-5340.2021.02.010  或          http://www.fyyxzz.com/CN/Y2021/V9/I2/139
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