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[机会性筛查样本中高危型人乳头瘤病毒与宫颈病变的相关性研究]

[Study for association between high risk human papillomavirus and cervical lesions in the samples from opportunistic screening].

作者信息

Bian Li-hua, Li Ying, Wang Xiao-li, Wu Xiao-zhou, Song Lei, Liu Hong-tu

机构信息

Department of Obstetrics and Gynaecology, Chinese PLA General Hospital, Beijing 100853, China.

出版信息

Zhonghua Shi Yan He Lin Chuang Bing Du Xue Za Zhi. 2011 Apr;25(2):89-91.

Abstract

OBJECTIVE

To investigate the association between HPV genotypes and cervical lesion in Hybrid Capture 2 (HC2) HPV test positive samples.

METHODS

602 cervical samples randomly obtained detected as HPV positive by the HC2 high-risk probe cocktail were determined by polymerase chain reaction (PCR)-reverse dot blot (RDB), among them 344 participated Thinprep Cytology test.

RESULTS

569 (94.5%) samples were successfully amplified. The most common HPV genotypes were HPV16 (31.6%), 52 (16.7%), 58 (15.1%), 56 (8.1%), 39 (7.9%); HPV16 or HPV16/18 infection was significantly related to ASCUS, LSIL and HSIL; 24 samples suggested single HPV infection with the genotypes not available for HC2.

CONCLUSION

The most common HPV genotypes in random screening were HPV16, 52 and HPV58; Our data demonstrated the pseudo-positivity of HC2 test was 4.0%; HPV16 was a index for progression of HSIL.

摘要

目的

探讨杂交捕获2代(HC2)HPV检测阳性样本中HPV基因型与宫颈病变之间的关联。

方法

通过聚合酶链反应(PCR)-反向斑点杂交(RDB)对随机采集的602份经HC2高危探针混合液检测为HPV阳性的宫颈样本进行检测,其中344份样本同时进行了薄层液基细胞学检测。

结果

569份(94.5%)样本成功扩增。最常见的HPV基因型为HPV16(31.6%)、52(16.7%)、58(15.1%)、56(8.1%)、39(7.9%);HPV16或HPV16/18感染与非典型鳞状细胞(ASCUS)、低度鳞状上皮内病变(LSIL)和高度鳞状上皮内病变(HSIL)显著相关;24份样本提示单一HPV感染,其基因型在HC2检测中无法检出。

结论

随机筛查中最常见的HPV基因型为HPV16、52和HPV58;我们的数据表明HC2检测的假阳性率为4.0%;HPV16是HSIL进展的一个指标。

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