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胥萍, 陈慧, 吴敏娟, 杭茵, 单学松, 沈月平. 江苏省女性HPV感染基因型分析[J]. 中国公共卫生, 2014, 30(5): 618-621. DOI: 10.11847/zgggws2014-30-05-23
引用本文: 胥萍, 陈慧, 吴敏娟, 杭茵, 单学松, 沈月平. 江苏省女性HPV感染基因型分析[J]. 中国公共卫生, 2014, 30(5): 618-621. DOI: 10.11847/zgggws2014-30-05-23
XU Ping, CHEN Hui, WU Min-juan.et al, . Genotyping of human papillomavirus(HPV) in female outpatients from major cities in Jiangsu province[J]. Chinese Journal of Public Health, 2014, 30(5): 618-621. DOI: 10.11847/zgggws2014-30-05-23
Citation: XU Ping, CHEN Hui, WU Min-juan.et al, . Genotyping of human papillomavirus(HPV) in female outpatients from major cities in Jiangsu province[J]. Chinese Journal of Public Health, 2014, 30(5): 618-621. DOI: 10.11847/zgggws2014-30-05-23

江苏省女性HPV感染基因型分析

Genotyping of human papillomavirus(HPV) in female outpatients from major cities in Jiangsu province

  • 摘要: 目的 分析江苏省女性人乳头瘤病毒(HPV)感染基因型分布情况,为宫颈癌防治和针对性HPV疫苗研发提供依据。方法 采用基因芯片技术,对2011年7月—2012年3月在南京、苏州、常州、扬州等9个城市医院门诊就诊的4 590例女性患者宫颈脱落细胞进行HPV-DNA亚型检测,分析不同地区和年龄女性HPV各亚型单一和组合检出率差异。结果 4 590份参检样本HPV总感染率(感染亚型≥1种)为38.71%,不同地区和年龄女性感染率差异有统计学意义(均P<0.001);苏锡常地区女性总感染率(45.37%)高于南京(34.54%)及其他地区(40.15%);≤25岁年龄组HPV总感染率最高(43.30%),其次≥40岁组(42.08%),26~30岁(34.70%)及31~39岁组(36.31%)感染率稍低;HPV6、HPV11、HPV31、 HPV33、HPV59、HPV73亚型检出率地区差异有统计学意义(P<0.05);HPV6、HPV11、 HPV43、 HPV31、 HPV33、HPV51、HPV58、 HPV59、HPV66亚型检出率年龄差异有统计学意义(P<0.05)。结论 江苏地区主要城市门诊女性HPV不同亚型单一和组合感染率存在明显的地区和年龄差异。

     

    Abstract: Objective To investigate genotype of human papillomavirus(HPV) among female outpatients in major cities in Jiangsu province and to provide fundamental evidence for prevention and treatment of cervical cancer and the study on specific HPV vaccine development.Methods Using gene chip technology, 23 HPV subtypes(18 high-risk types and 5 low-risk types) in cervical exfoliated cells from 4 590 female outpatients in 9 cities including Nanjing, Suzhou, Changzhou, and Yangzhou were detected between July 2011 and March 2012.The single and combination subtype HPV prevalence were analyzed and that of different region and age groups were compared.Results Of the outpatients, 1 777(38.71%) were infected with one or more HPV subtypes.A significant difference in the overall prevalence rate was found among different regions(P<0.001)and age groups(P<0.001).The overall prevalence was higher among the outpatients from Suzhou(45.37%), Wuxi(34.54%) and Changzhou city(40.15%) than other regions.The prevalence rate was the highest in the outpatients of ≤25 years old(43.30%), followed by the rates in outpatients of ≥40 years(42.08%), 31-39 years (36.31%), and the 26-30 years (34.70%).The detection rate of HPV6, HPV11, HPV31, HPV33, HPV59, and HPV73 was significantly different among the outpatients from different regions(P<0.05)and the prevalence for the HPV6, HPV11, HPV43, HPV31, HPV33, HPV51, HPV58, HPV59, and HPV66 was significantly different among the outpatients of different age groups(P<0.05).Conclusion There are significant differences in regional and age distribution for the single and combination subtypes of HPV among the female outpatients in major cities of Jiangsu province.

     

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