Özcan E S, Taşkin S, Ortaç F
Department of Obstetrics and Gynaecology, Medical School of Ankara University, Ankara, Turkey.
J Obstet Gynaecol. 2011 Oct;31(7):656-8. doi: 10.3109/01443615.2011.597460.
In this study we aimed to investigate high-risk human papilloma virus (hrHPV) prevalence among Turkish women. Cervical samples were collected from 501 women for cytological screening and hrHPV testing by Digene Hybrid Capture 2. hrHPV prevalence and its relation with cytological results and epidemiologic data were analysed by SPSS. The prevalence of hrHPV was 4.2% (21 of the 501 women). Women with abnormal cytological screening results have significantly higher risk of hrHPV positivity compared with women with normal cytological results (19% vs 3.5%) (p ≤ 0.01). The incidence of HPV infection was only associated with the number of sexual partners, but there was no association with age, contraception methods or age at the first sexual intercourse. The prevalence of hrHPV among histological-confirmed cervical intraepithelial neoplasia (CIN) 1, CIN 2 and normal cases were found as 37.5%, 25% and 25%, respectively. The prevalence of cervical hrHPV infection is 4.2% in our population and this rate seems lower than reported rates from other regions. According to further studies with a larger sample size, reflex cytology based on hrHPV positivity should be considered for our national cervical cancer screening programme.
在本研究中,我们旨在调查土耳其女性中高危型人乳头瘤病毒(hrHPV)的流行情况。收集了501名女性的宫颈样本,通过Digene Hybrid Capture 2进行细胞学筛查和hrHPV检测。使用SPSS分析hrHPV的流行情况及其与细胞学结果和流行病学数据的关系。hrHPV的流行率为4.2%(501名女性中有21名)。细胞学筛查结果异常的女性与细胞学结果正常的女性相比,hrHPV阳性风险显著更高(19%对3.5%)(p≤0.01)。HPV感染的发生率仅与性伴侣数量有关,但与年龄、避孕方法或首次性交年龄无关。在组织学确诊的宫颈上皮内瘤变(CIN)1、CIN 2和正常病例中,hrHPV的流行率分别为37.5%、25%和25%。我们人群中宫颈hrHPV感染的流行率为4.2%,这一比率似乎低于其他地区报告的比率。根据更大样本量的进一步研究,我国宫颈癌筛查计划应考虑基于hrHPV阳性的反射细胞学检查。