叶宣梅, 叶松道, 卢雨田. 浙江省温州地区部分体检女性人乳头状瘤病毒基因型的分布[J]. 疾病监测, 2017, 32(5): 414-417. DOI: 10.3784/j.issn.1003-9961.2017.05.015
引用本文: 叶宣梅, 叶松道, 卢雨田. 浙江省温州地区部分体检女性人乳头状瘤病毒基因型的分布[J]. 疾病监测, 2017, 32(5): 414-417. DOI: 10.3784/j.issn.1003-9961.2017.05.015
YE Xuan-mei, YE Song-dao, LU Yu-tian. Distribution of HPV genotypes in women receiving health examination in Wenzhou[J]. Disease Surveillance, 2017, 32(5): 414-417. DOI: 10.3784/j.issn.1003-9961.2017.05.015
Citation: YE Xuan-mei, YE Song-dao, LU Yu-tian. Distribution of HPV genotypes in women receiving health examination in Wenzhou[J]. Disease Surveillance, 2017, 32(5): 414-417. DOI: 10.3784/j.issn.1003-9961.2017.05.015

浙江省温州地区部分体检女性人乳头状瘤病毒基因型的分布

Distribution of HPV genotypes in women receiving health examination in Wenzhou

  • 摘要: 目的 了解浙江省温州地区健康体检女性人乳头状瘤病毒(HPV)感染情况、基因分型及其年龄分布状况,为宫颈癌防治提供参考依据。方法 选择2014年6月至2016年5月在温州医科大学附属第二医院体检中心进行体检的4 089名妇女作为研究对象,根据年龄分为5组,采用流式荧光杂交技术对宫颈脱落细胞标本进行HPV基因分型检测,并对HPV感染率、基因亚型和年龄分布等进行统计分析。结果 4 089名妇女中共检出HPV阳性763例,总感染率为18.66%(763/4 089)。共检出27种亚型,单一亚型感染596例(14.58%,596/4 089),多重感染167例(4.08%,167/1 089),多重感染中以二重感染最常见(78.44%,131/167)。共检出高危型感染575例(14.06%,575/4 089),低危型感染257例(6.29%,257/4 089),高低危型混合感染69例(1.69%,69/4 089)。高危型中52型感染率最高,达18.87%(144/575),其次为53型(9.96%,76/575)、16型(8.91%,68/575)和58型(8.13%,62/575);低危型感染率前3名分别为81型(7.73%,59/257)、61型(6.16%,47/257)和55型(5.77%,44/257)。不同年龄组HPV总感染率、多重感染率、高危型感染率差异均有统计学意义(2=18.882、19.517、21.113,均P0.01),随着年龄增长,HPV感染率有逐渐增加的趋势,其中59岁及以上年龄组总感染率、多重感染率和高危型感染率均高于其他年龄组。结论 浙江省温州地区HPV感染具有明显的亚型和年龄分布特异性。

     

    Abstract: Objective To investigate the prevalence of human papillomavirus infection and age specific distribution of human papillomavirus (HPV) genotypes in women receiving health examination in Wenzhou and provide evidence for the prevention and treatment of the cervical cancer. Methods A total of 4 089 women receiving health examination in our hospital were selected from June 2014 to May 2016. The women were divided into five age groups, Flow fluorescence hybridization was conducted to detect HPV subtype, the HPV infection rate, genotypes and related age distribution were analyzed. Results Among the 4 089 women, 763 were infected with HPV (18.66%). A total of 27 HPV genotypes were detected. Single and multisubtype infection rates were 14.58% (596/4 089) and 4.08% (167/1 089), respectively. Among multi infections, 78.44% were dual infections (131/167). The high risk and low risk genotype HPV infection rates were 14.06% (575/4 089) and 6.29% (257/4 089), respectively, and the co-infection rates of high risk and low risk genotypes were 1.69% (69/4 089). The most common subtypes in high risk genotype HPV infections were HPV-52 (18.87%), 53 (9.96%), 16 (8.91%), and 58 (8.13%), while low risk genotypes were HPV-81 (7.73%), 61 (6.16%), and 55 (5.77%). There were significant difference in overall positive rate of HPV, multi subtype HPV and high risk genotype HPV infection rates in different age groups (2=18.882, 19.517 and 21.113, all P 0.01). The HPV infection rate tended to increase with age, and the overall HPV positive rate, multi subtype HPV infection rate, high risk genotype HPV infection rate in 59 years old women were higher than those in other age groups. Conclusion The subtype-specific and age-specific distributions of HPV genotypes had an obvious heterogeneity in Wenzhou.

     

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