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人乳头瘤病毒感染的分布特征:一项基于体检数据的研究

Distribution Characteristics of Human Papillomavirus Infection: A Study Based on Data from Physical Examination.

作者信息

Zhou Xiao Hui, Shi Yan Feng, Wang Li Jie, Liu Mei, Li Fang

机构信息

Hua-Dong Sanatorium, Wuxi 214065, Province JiangSu, Tongji University, Shanghai, China. Email:

出版信息

Asian Pac J Cancer Prev. 2017 Jul 27;18(7):1875-1879. doi: 10.22034/APJCP.2017.18.7.1875.

Abstract

Objective: Human papillomavirus (HPV) is the primary cause of cervical cancer. The purpose of this study was to investigate the prevalence and type distribution of HPV DNA positive in women undergoing routine physical examination. Methods: 2,452 women were enrolled between March and November 2013. Participants were tested for 23 HPV types using polymerase chain reaction (PCR) and reverse dot blot hybridization. HPV DNA detection prevalence was estimated in different age groups. Results: Mean age (SD) of study participants was 47.7 (9.8) years. Overall HPV-positive prevalence was 18.9% (463/2452), and 22 out of 23 known subtypes were detected. Single HPV subtype prevalence of infection was 14.4%, and multiple prevalence of infection was 4.5%. The prevalence of HPV DNA in different age groups (20-29, 30-39, 40-49, 50-59, 60-69, ≥70) were 9.3%, 15.6%, 17.1%, 22.1%, 23.0% and 20.0%, respectively. HPV 52 was the most prevalent HPV type, followed by HPV 58, 53, 16 and 68, in descending order of prevalence. The top five low-risk types of HPV were (in descending order): HPV81, 43, 6, 42 and 11. Conclusions: Overall HPV DNA detection prevalence increased significantly with increasing age. Concerning high-risk HPV types, HPV 52, 58, 53, 16 and 51 were the most common in the study.

摘要

目的

人乳头瘤病毒(HPV)是宫颈癌的主要病因。本研究旨在调查接受常规体检女性中HPV DNA阳性的患病率及类型分布。方法:2013年3月至11月纳入2452名女性。采用聚合酶链反应(PCR)和反向点杂交技术对参与者进行23种HPV类型检测。评估不同年龄组的HPV DNA检测患病率。结果:研究参与者的平均年龄(标准差)为47.7(9.8)岁。总体HPV阳性患病率为18.9%(463/2452),检测到23种已知亚型中的22种。单一HPV亚型感染患病率为14.4%,多重感染患病率为4.5%。不同年龄组(20 - 29、30 - 39、40 - 49、50 - 59、60 - 69、≥70岁)的HPV DNA患病率分别为9.3%、15.6%、17.1%、22.1%、23.0%和20.0%。HPV 52是最常见的HPV类型,其次是HPV 58、53、16和68,患病率依次递减。HPV低风险类型排名前五的(患病率递减)为:HPV81、43、6、42和11。结论:总体HPV DNA检测患病率随年龄增长显著增加。关于高危HPV类型,HPV 52、58、53、16和51是本研究中最常见的类型。

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