伊朗亚兹德沙希德·萨杜基医院女性患者巴氏涂片样本中滴虫感染与人类乳头瘤病毒(HPV)的相关性
Prevalence of Trichomonas Infection in Relation to Human Papillomavirus (HPV) in Pap Smear Samples of Female Patients Referred to Shahid Sadoughi Hospital, Yazd (Iran).
作者信息
Azadehrah Malihe, Azadehrah Mahboobeh, Zeinali Fatemeh, Nokhostin Fahimeh
机构信息
Cancer Research Center, Golestan University of Medical Sciences, Gorgan, IRN.
Department of Obstetrics and Gynaecology, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, IRN.
出版信息
Cureus. 2024 Apr 6;16(4):e57701. doi: 10.7759/cureus.57701. eCollection 2024 Apr.
Objectives Human papillomavirus (HPV) and (TV) infections have been proposed as risk factors for cervical cancer. This study has been conducted with the aim of investigating the prevalence of TV and its relationship with HPV in women who underwent Pap smear testing as part of cancer screenings. Materials and methods The sampling of liquid-based cervical tissue was conducted among 500 women referred to the women's clinic of Shahid Sadoughi Hospital in Yazd, Iran. The studied samples were examined for Pap smear tests and microscopic identification of TV, as well as HPV-DNA detection and the determination of high-risk and low-risk HPV types by the polymerase chain reaction (PCR) method. The results were analyzed using the IBM SPSS Statistics for Windows, Version 24 (Released 2016; IBM Corp., Armonk, New York) software. Results The individuals included in the study were 16-72 years old. The prevalence rate of TV infection in this population was found to be 29.2%, and the frequency rate of HPV was reported to be approximately 19.4%, with high-risk HPV, including HPV-56, having the highest frequency. The Pap smear test results were reported as abnormal in 20.2%, and a significant correlation was observed between HPV infection and an abnormal Pap smear test (P < 0.05). In addition, a notable correlation was detected between TV infection and high-risk and low-risk HPV (P < 0.05). Conclusion According to the significant relationship found between the two pathogens, TV and HPV, in the abnormal Pap smear test results, TV infection can be considered a risk factor for HPV infection, as well as uterine lesions and cancer.
目的 人乳头瘤病毒(HPV)和滴虫(TV)感染被认为是宫颈癌的风险因素。本研究旨在调查作为癌症筛查一部分接受巴氏涂片检查的女性中TV的患病率及其与HPV的关系。材料与方法 在伊朗亚兹德的沙希德·萨杜基医院妇科门诊就诊的500名女性中采集液基宫颈组织样本。对研究样本进行巴氏涂片检查、TV的显微镜鉴定、HPV-DNA检测以及通过聚合酶链反应(PCR)方法确定高危和低危HPV类型。使用IBM SPSS Statistics for Windows,版本24(2016年发布;IBM公司,纽约州阿蒙克)软件对结果进行分析。结果 纳入研究的个体年龄在16至72岁之间。该人群中TV感染的患病率为29.2%,HPV的感染率约为19.4%,其中高危HPV,包括HPV-56,感染率最高。巴氏涂片检查结果报告为异常的占20.2%,并且观察到HPV感染与巴氏涂片检查异常之间存在显著相关性(P<0.05)。此外,还检测到TV感染与高危和低危HPV之间存在显著相关性(P<0.05)。结论 根据在异常巴氏涂片检查结果中发现的两种病原体TV和HPV之间的显著关系,TV感染可被视为HPV感染以及子宫病变和癌症的一个风险因素。