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广西200例HPV阳性女患者中解脲支原体、沙眼衣原体的感染情况分析

Analysis of ureaplasma urealyticum and chlamydia trachomatis infection among 200 HPV positive women in Guangxi Zhuang Autonomous Region

  • 摘要: 目的 分析人乳头瘤病毒(human papilloma virus,HPV)感染患者解脲支原体(ureaplasma urealyticum,UU)、沙眼支原体(chlamydia trachomatis,CT)的混合感染情况,探讨三者之间的关系,进一步分析宫颈癌患者感染HPV的致病机制,对宫颈癌的早预防、早诊断、早治疗有临床指导作用。方法 收集2019—2021年就诊于广西壮族自治区妇幼保健院妇科门诊的4 304例患者宫颈脱落细胞样本,经HPV16型、18型、其他高危型分型基因检测阳性的样本有854例,从中随机选取200例HPV阳性样本,采用聚合酶链反应技术对HPV-DNA、UU-DNA、CT-DNA进行检测,计算不同病原体的阳性率,并进行统计分析。结果 200例阳性样本中,女性感染HPV其他高危型(31、33、35、39、45、51、52、56、58、59、66和68型,简称Others型)、16型、18型、18型+Others型、16型+Others型的占比分别为78.5%、9.0%、5.5%、5.0%、2.0%。200例HPV阳性样本中,UU阳性检出率为67.0%,CT阳性检出率为12.0%,UU和CT均为阳性的检出率为11.0%;HPV高危型不同型别阳性组中,UU阳性检出率最高的组为16型+Others型组,CT阳性和UU+CT阳性检出率最高的组均为18型+Others型组;HPV混合感染UU在不同年龄段中的感染率以30岁以下组最高;HPV混合感染CT和混合感染UU+CT在不同年龄段中的感染率以30岁以下组最高,并且感染率随着年龄的增加而降低。结论 HPV感染的女性患者混合感染UU、CT病原体的阳性率较高,建议对HPV感染的女性患者联合检测UU和CT病原体,其中30岁以下年龄组为主要高危人群,应引起重视并做好相应预防工作。

     

    Abstract: Objective To analyze coinfection of human papilloma virus(HPV) positive patients with ureaplasma urealyticum(UU) and chlamydia trachomatis(CT) infections and explore their relationships, and further analyze the pathogenic mechanism of HPV infection in patients with cervical cancer in order to provide clinical guidance for early prevention, diagnosis and treatment of cervical cancer. Methods Totally 4 304 patients' exfoliated cervical cell samples were collected from 2019-2021 at gynecological outpatient clinic, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region. Of those, 854 cases were HPV 16, 18 and other high-risk genotype positive,and 200 HPV positive cases were randomly selected from them. HPV-DNA, UU-DNA and CT-DNA were detected by real-time quantitative polymerase chain reaction(RT-qPCR). The positive rates of different pathogens were calculated and analyzed. Results The percentage of other high-risk HPV infection types(31, 33, 35, 39, 45, 51, 52, 56, 58, 59,66 and 68, referred to as Others), 16, 18, 18 + Others and 16 + Others were 78. 5%, 9. 0%, 5. 5%, 5. 0% and 2. 0%,respectively. UU and CT positive rates were 67. 0% and 12. 0% respectively. The positive rate of UU + CT was 11. 0%. Among HPV high-risk type groups, the group with the highest positive rate of UU was 16 + Others. The highest positive rates of CT and UU + CT were all 18 + Others group. The highest rate of mixed HPV and UU infection was in the group of age below 30 among different age groups. The highest rates of HPV mixed with CT and UU + CT infection were in the group of age below 30 among different age groups,and the infection rate decreased with the increasing of age. Conclusion The positive rate of mixed infection of UU and CT pathogens in female HPV positive patients is relatively high. It is suggested that the combined screening and CT pathogens should be carried out in women with HPV infection. The group of age below 30 is the main high-risk group, which should be paid attention to disease prevention.

     

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