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南京地区健康体检女性宫颈人乳头瘤病毒感染现状及型别分布分析

Analysis of prevalence of cervical HPV infection and its type distribution among health examination women in Nanjing

  • 摘要: 目的 了解南京地区健康体检女性宫颈人乳头瘤病毒(HPV)感染现状及高危型别分布特点。方法 收集2017—2020年到南京市妇幼保健院妇女体检中心进行健康体检的8 496例女性其宫颈HPV检测数据,分析HPV在健康体检女性中的感染现状及高危型别分布特点。结果 8 496例健康体检女性HPV阳性1 408例,HPV感染率16.6%,高危型别感染率13.5%,感染人群中单一高危型别感染占58.2%,多型别高危及高低危混合感染占23.2%。高危型别HPV感染率20~29岁组最高,第二高峰为40~49岁组。结论 南京地区健康体检女性宫颈HPV感染以单一高危型感染为主,常见高危型别为HPV 52、53、16、58、68型,高危型别HPV感染率随年龄变化呈双峰状态。日常宫颈癌防治工作中应考虑本地区HPV高危型别分布特征,推广接种HPV疫苗,以期降低人群中宫颈病变的发生。

     

    Abstract: Objective To investigate the prevalence of cervical HPV infection and its characteristics of high-risk type distribution among health examination women in Nanjing. Methods Data of 8 496 women's cervical HPV test results during health examination at the Women's Physical Examination Center of Nanjing Maternity and Child Health Care Hospital were collected from 2017 to 2020. The prevalence of cervical HPV infection and characteristics of high-risk type distribution were analyzed. Results 1 408 women were detected HPV positive among 8 496 health examination women. The prevalence of HPV infection was 16. 6%,and prevalence of highrisk type HPV infection was 13. 5%. Within the population with HPV infection,single high-risk type infection accounted for 58. 2%,and multi-type high-risk and mixed high-low-risk infection accounted for 23. 2%. Prevalence of high-risk HPV infection was the highest among age 20-29,and the second highest among age 40-49. Conclusion Single type high-risk HPV is the main pathogen leading to cervical HPV infection among health examination women in Nanjing. The common high risk types are HPV 52,53,16,58 and 68.The prevalence of high-risk HPV shows a bimodal distribution with age. Prevention of cervical cancer should consider the characteristics of HPV high-risk type distribution and promoting HPV vaccine in order to decrease the incidence of cervical cancer.

     

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