Yao Lili, Yuan Min, Yuan Jianlin, Zhou Ping, Mei Lipa, Cheng Jingxin
Department of Gynecology, Affliated Tumor Hospital, Xinjiang Medical University, Urumqi.
Department of Obstetrics and Gynecology, Dongfang Hospital of Tongji University, Shanghai, China.
Medicine (Baltimore). 2018 Nov;97(45):e13206. doi: 10.1097/MD.0000000000013206.
This study is to investigate the cervical human papillomavirus (HPV) infection rate in women of Urumqi, China.The epidemiological questionnaire survey was used to study 2300 women in Urumqi with a prospective research method. The second-generation hybrid capture assay, cervical liquid-based cytology test, colposcopy, and cervical biopsy were used to screen CC.In 2300 cases, HPV was detected in 385 cases with infection rate of 16.74%. The infection rates of Uygur and Han women were 20.08% and 13.39%, respectively, with significant differences (P <.05). Among all age groups, the infection rate was highest in the age group of 20 to 25 years (with infection rate of 22.22%), followed by the age group of 45 to 49 years (with infection rate of 18.78%). In 8 districts, the highest positive rate was in Saybagh District with infection rate of 24.79%, followed by Urumqi County with infection rate of 19.05%, and the lowest was in Toutunhe District with infection rate of 10.86%. There was no significant difference in HPV infection among all age groups or among 8 districts of Urumqi. HPV infection rates were 10.48%, 84.52%, 92.94%, 100% in chronic cervicitis, low grade and high-grade intraepithelial neoplasia and CC group, respectively. The difference was statistically significant (P <.05).The HPV infection rate of Uygur is higher than that in Han ethnic in Urumqi. The infection rate of HPV increases with the severity of cervical lesions.
本研究旨在调查中国乌鲁木齐市女性宫颈人乳头瘤病毒(HPV)感染率。采用流行病学问卷调查法,以前瞻性研究方法对乌鲁木齐市2300名女性进行研究。采用第二代杂交捕获试验、宫颈液基细胞学检查、阴道镜检查及宫颈活检对宫颈癌(CC)进行筛查。2300例中,检测出HPV感染385例,感染率为16.74%。维吾尔族和汉族女性感染率分别为20.08%和13.39%,差异有统计学意义(P<0.05)。各年龄组中,20~25岁年龄组感染率最高(为22.22%),其次为45~49岁年龄组(为18.78%)。8个区中,阳性率最高的是萨依巴格区,感染率为24.79%,其次是乌鲁木齐县,感染率为19.05%,最低的是头屯河区,感染率为10.86%。乌鲁木齐市各年龄组及8个区之间HPV感染无显著差异。慢性宫颈炎、低级别和高级别上皮内瘤变及CC组的HPV感染率分别为10.48%、84.52%、92.94%、100%。差异有统计学意义(P<0.05)。乌鲁木齐市维吾尔族HPV感染率高于汉族。HPV感染率随宫颈病变严重程度增加而升高。