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人乳头瘤病毒感染对复发性流产的影响:文献综述

The Impact of Human Papillomavirus Infections on Recurrent Pregnancy Loss: A Review of the Literature.

作者信息

Dedousi Dimitra, Potiris Anastasios, Zikopoulos Athanasios, Karampitsakos Theodoros, Topis Spyridon, Skentou Charikleia, Gerede Angeliki, Christopoulos Panagiotis, Zachariou Athanasios, Domali Ekaterini, Drakakis Peter, Stavros Sofoklis

机构信息

First Department of Obstetrics and Gynecology, Alexandra Hospital, Medical School, National and Kapodistrian University of Athens, 115 28 Athens, Greece.

Third Department of Obstetrics and Gynecology, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens, 124 62 Athens, Greece.

出版信息

Diseases. 2024 Sep 13;12(9):214. doi: 10.3390/diseases12090214.

Abstract

Human papillomavirus (HPV) infections are significantly associated with multiple adverse reproductive outcomes such as miscarriages. Pregnant women are more susceptible to an HPV infection and its prevalence increases as pregnancy progresses. In this present review, we summarize the existing evidence indicating the potential impact of an HPV infection on the occurrence of recurrent pregnancy loss (RPL). Comprehensive research of the literature was performed in the Medline/PubMed and Scopus databases. A total of 185 articles were identified and 40 full-text articles were assessed. Four studies were eligible to be included in this literature review. To our knowledge, this is the first review aiming to summarize the current state of evidence regarding the possible association of HPV infections and RPL. Recurrent pregnancy loss constitutes a distressing reproductive event and scientific research has made significant efforts to determine the causes and mechanisms that could lead to RPL. It is still unclear whether the papillomavirus infection is associated with an increased risk for recurrent miscarriages. Research in the field revealed conflicting results and their deductions are limited by methodological limitations. Given the high prevalence of HPV infections and their potential role in the occurrence of adverse outcomes during pregnancy, further research is required to clarify the possibility of an HPV infection being a potential risk factor for recurrent miscarriages.

摘要

人乳头瘤病毒(HPV)感染与多种不良生殖结局显著相关,如流产。孕妇更容易感染HPV,且随着孕期进展其感染率会升高。在本综述中,我们总结了现有证据,表明HPV感染对复发性流产(RPL)发生的潜在影响。在Medline/PubMed和Scopus数据库中对文献进行了全面检索。共识别出185篇文章,并评估了40篇全文文章。四项研究符合纳入本综述的条件。据我们所知,这是首次旨在总结HPV感染与RPL可能关联的现有证据状态的综述。复发性流产是一个令人痛苦的生殖事件,科研人员已做出重大努力来确定可能导致RPL的原因和机制。乳头瘤病毒感染是否与复发性流产风险增加相关仍不清楚。该领域的研究结果相互矛盾,且其推论受到方法学限制。鉴于HPV感染的高流行率及其在孕期不良结局发生中的潜在作用,需要进一步研究以阐明HPV感染成为复发性流产潜在危险因素的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf1a/11431260/1796cbb8e3be/diseases-12-00214-g001.jpg

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