Liu Lihua, Wang Dexue, Dong Haixin, Jin Chengqiang, Jiang Liqing, Song Hui, Jin Chao, Wang Tong, Shi Cuiming, Yang Linqing, Wang Yunfei
Department of Laboratory.
Department of Gynecology, Affiliated Hospital of Jining Medical University, Jining Medical University, 89 Guhuai Road, Jining, Shandong, PR China.
Medicine (Baltimore). 2019 Sep;98(37):e17087. doi: 10.1097/MD.0000000000017087.
Human papillomavirus (HPV) infection is a crucial health problem and caused substantial malignancy diseases among female worldwide. We aim to investigate the distribution of HPV subtype and the status of cervical cancer and precancerous lesions caused by HPV infection in North China Plain population. A total of 61,870 samples of outpatients and inpatients from January 2015 to May 2017 at the Affiliated Hospital of Jining Medical University were collected. All of the samples were tested by rapid flow-through hybridization HPV genotyping. Approximately 17,280 of the cases tested positive for HPV, indicating an infection rate of 27.9%. Approximately 7009 cases were compared to the results of cytological diagnosis. The top five HPV genotypes were HPV-16 (4.5%), HPV-52 (2.9%), HPV-58 (2.8%), HPV-53 (1.9%), and HPV-81 (1.9%). The youngest age group (age < 20 years) showed the highest infection rate (59.9%), and then decreased with age. As the degree of cervical lesions worsened gradually, the rate of high-risk HPV infection increased, such as 24.3% (322/1324) in the Cervicitis, 31.30% (560/1785) in the CINI, 54.1% (568/1050) in the CINII, 80.1% (693/865) in the CIN III, and 99.5% (428/430) in the cervical cancer group. These findings were significantly different from the 9.7% (155/1555) observed in the normal medical examination group (P < .05). This is the first study to demonstrate the characteristics of HPV and the association with cervical lesions in North China Plain population.
人乳头瘤病毒(HPV)感染是一个关键的健康问题,在全球女性中引发了大量恶性疾病。我们旨在调查华北平原人群中HPV亚型的分布情况以及由HPV感染导致的宫颈癌和癌前病变状况。收集了2015年1月至2017年5月期间济宁医学院附属医院61870例门诊和住院患者的样本。所有样本均通过快速流式杂交HPV基因分型进行检测。约17280例检测出HPV阳性,感染率为27.9%。约7009例与细胞学诊断结果进行了比较。HPV基因型排名前五的是HPV-16(4.5%)、HPV-52(2.9%)、HPV-58(2.8%)、HPV-53(1.9%)和HPV-81(1.9%)。最年轻年龄组(年龄<20岁)显示出最高感染率(59.9%),随后随年龄下降。随着宫颈病变程度逐渐加重,高危HPV感染率上升,如宫颈炎组为24.3%(322/1324)、CINI组为31.30%(560/1785)、CINII组为54.1%(568/1050)、CIN III组为80.1%(693/865)、宫颈癌组为99.5%(428/430)。这些结果与正常体检组观察到的9.7%(155/1555)有显著差异(P<.05)。这是第一项展示华北平原人群中HPV特征及其与宫颈病变关联的研究。