首页> 中文期刊> 《重庆医学》 >重庆地区12196例妇科门诊患者HPV亚型感染情况分析

重庆地区12196例妇科门诊患者HPV亚型感染情况分析

         

摘要

Objective To learn the HPV infection situation of gynecological patients ,so as to provide a scientific basis for the epidemiological studies in Chongqing area .Methods Totally 12 196 gynecology clinic patients in January 2010 to December 2013 were registered whose cervical secretions was collected as specimens ,was type testing was carried on by PCR‐reverse dot hybridiza‐tion ,age distribution ,infected type and multiple infection of the patients were counted .Results There were 3 745(30 .8% ) patients with a positive test specimen of 12 196 patients detected in this study ,the high‐risk HPV infection rate was 61 .67% ,the top three high‐risk HPV subtype were HPV58 ,HPV16 and HPV52 ;the low‐risk HPV infection rate was 21 .23% and the main subtypes were HPV6 and HPV43 .The majority of multiple infections was double infection .There were significant differences between each age groups (χ2 =129 .76 ,P<0 .05) ,the paragraph of HPV infection rate present as "U" shaped curve .Conclusion The HPV in‐fection of gynecology clinic patients in Chongqing area has obvious regional specificity and age differences .HPV58 ,HPV16 and HPV52 should be pay attention in clinical diagnosis .The age group ≤25 and ≥46 years old are two peaks of HPV infections ,and it should be strengthen the screening of the two age groups .%目的:通过对妇科门诊患者人乳头瘤病毒(HPV)感染情况的研究,为该地区 HPV流行病学的研究提供理论依据。方法对2011年1月至2013年12月,来该院妇产科门诊就诊的12196例患者进行登记,采集宫颈分泌物作为标本,利用PCR对HPV进行分型检测,对患者的年龄分布、感染型别及多重感染的情况进行统计。结果本研究12196例患者中检出 HPV阳性3754(30.8%)例,其中高危型感染率为61.67%,排在前3位的为HPV58、HPV16和 HPV52;低危型感染率为21.23%,低危型感染以HPV6和 HPV43为主。多重感染患者中以二重感染为主。各年龄段 HPV 感染率之间差异有统计学意义(χ2=129.76,P<0.05),不同年龄段 HPV感染率呈现出“U”形曲线。结论重庆地区妇科门诊患者 HPV感染具有明显的地区特异性和年龄差异性,临床诊断中应特别关注感染率较高的 HPV58、HPV16和 HPV52亚型,≤25、≥46年龄段是 HPV感染的2个高峰,应加强对这2个年龄段 HPV的筛查。

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