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[下生殖道人乳头瘤病毒(HPV)感染的临床意义]

[Clinical significance of human papilloma virus (HPV) infections of the lower genital tract].

作者信息

Schneider A, Schuhmann R, De Villiers E M, Knauf W, Gissmann L

出版信息

Geburtshilfe Frauenheilkd. 1986 May;46(5):261-6. doi: 10.1055/s-2008-1035913.

DOI:10.1055/s-2008-1035913
PMID:3013712
Abstract

Using filter in situ hybridisation for HPV-DNA detection we found among 217 women with positive cervical cytology a positive result in 152 cases (70%). The distribution of the different HPV types showed an association of HPV 6/11 mainly with benign lesions and of HPV 16/18 with obligatory precancer and invasive cervical cancer. In 2652 swabs of cytologically negative patients HPV-DNA was identified in 9.5%. The infection rate for HPV 16/18 in pregnant women was 6.4% against 2.3% in nonpregnant women. In a number of the patients with positive cervical cytology we additionally examined smears from the vagina and vestibulum for HPV-DNA: in 42% of the cases a positive HPV result was obtained in these areas as well. In about 50% of 39 male partners peniscopy revealed penile lesions and HPV-DNA was found in penile smears. A prospective cytological and virological study of cytologically positive patients showed a clear association of HPV 16/18 with progression of cervical lesions. In a cytologically negative group, follow-up examinations revealed HPV-DNA in 31%.

摘要

通过原位杂交法检测人乳头瘤病毒(HPV)-DNA,我们发现,在217例宫颈细胞学检查呈阳性的女性中,有152例(70%)检测结果呈阳性。不同HPV类型的分布情况显示,HPV 6/11主要与良性病变相关,而HPV 16/18则与癌前病变及浸润性宫颈癌密切相关。在2652例细胞学检查呈阴性的患者拭子样本中,9.5%检测出HPV-DNA。孕妇中HPV 16/18的感染率为6.4%,非孕妇为2.3%。对于一些宫颈细胞学检查呈阳性的患者,我们还对其阴道和前庭涂片进行了HPV-DNA检测:在42%的病例中,这些部位的检测结果也呈阳性。在39名男性伴侣中,约50%的阴茎检查发现阴茎有病变,阴茎涂片检测出HPV-DNA。一项针对细胞学检查呈阳性患者的前瞻性细胞学和病毒学研究表明,HPV 16/18与宫颈病变进展明显相关。在细胞学检查呈阴性的组中,随访检查发现31%的患者感染了HPV-DNA。

相似文献

1
[Clinical significance of human papilloma virus (HPV) infections of the lower genital tract].[下生殖道人乳头瘤病毒(HPV)感染的临床意义]
Geburtshilfe Frauenheilkd. 1986 May;46(5):261-6. doi: 10.1055/s-2008-1035913.
2
[Detection of various papilloma virus types in cytologic smears of precancerous conditions and cancers of the uterine cervix].
Geburtshilfe Frauenheilkd. 1985 Apr;45(4):226-31. doi: 10.1055/s-2008-1036449.
3
[Comparative DNA hybridization, cytology and histology of condylomatous and precancerous lesions of the cervix uteri].
Geburtshilfe Frauenheilkd. 1992 Dec;52(12):758-63. doi: 10.1055/s-2007-1023807.
4
[The significance of human papillomavirus infection in cervix cancer and its preliminary stages (including other HPV-induced genital lesions)].
Gynakol Rundsch. 1989;29 Suppl 3:44-53.
5
[Human papillomavirus (HPV) DNA infections of the uterine cervix].子宫颈人乳头瘤病毒(HPV)DNA感染
Geburtshilfe Frauenheilkd. 1992 May;52(5):283-6. doi: 10.1055/s-2007-1023749.
6
[Clinical relevance of nucleic acid detection of human papillomaviruses (HPV) in cells from smears of the cervix uteri].
Geburtshilfe Frauenheilkd. 1989 Jan;49(1):11-6. doi: 10.1055/s-2008-1035727.
7
Expression of p53 protein related to the presence of human papillomavirus (HPV) DNA in genital carcinomas and precancer lesions.p53蛋白的表达与生殖器癌及癌前病变中人类乳头瘤病毒(HPV)DNA的存在情况相关。
Anticancer Res. 1993 Jul-Aug;13(4):1107-11.
8
[Colposcopy, histology, cytology and HPV findings in patients with condylomata of the vulva].[外阴尖锐湿疣患者的阴道镜检查、组织学、细胞学及人乳头瘤病毒检测结果]
Geburtshilfe Frauenheilkd. 1992 Aug;52(8):471-4. doi: 10.1055/s-2007-1023791.
9
Reliability of in-situ hybridization of smears and biopsies for papilloma virus genotyping of the uterine cervix.涂片和活检组织原位杂交用于子宫颈乳头瘤病毒基因分型的可靠性
Eur J Clin Chem Clin Biochem. 1991 Feb;29(2):139-45.
10
Risk factors for cervical neoplasia in Denmark.丹麦宫颈癌前病变的危险因素。
APMIS Suppl. 1998;80:1-41.

引用本文的文献

1
Human papillomavirus, herpes simplex virus and other potential risk factors for cervical cancer in a high-risk area (Greenland) and a low-risk area (Denmark)--a second look.高危地区(格陵兰岛)和低危地区(丹麦)宫颈癌的人乳头瘤病毒、单纯疱疹病毒及其他潜在风险因素——再审视
Br J Cancer. 1993 Apr;67(4):830-7. doi: 10.1038/bjc.1993.152.
2
Detection and typing of human papillomavirus infection affecting the cervix, vagina and vulva. Comparison of DNA hybridization with cytological, colposcopic and histological examinations.人乳头瘤病毒感染累及子宫颈、阴道和外阴的检测与分型。DNA杂交与细胞学、阴道镜检查和组织学检查的比较。
Arch Gynecol Obstet. 1993;253(2):75-83. doi: 10.1007/BF02768733.
3
Occurrence of HPV genomes in penile smears of healthy men.
健康男性阴茎涂片样本中HPV基因组的存在情况。
Arch Dermatol Res. 1987;279 Suppl:S73-5. doi: 10.1007/BF00585925.