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    宫颈鳞状细胞癌和尖锐湿疣女性患者HPV感染亚型分布和病原微生物感染的比较研究

    A comparative study on the distribution of HPV infection subtypes and pathogenic microorganisms in women with cervical squamous cell carcinoma and condyloma acuminatum

    • 摘要: 目的 通过对人乳头瘤病毒(HPV)和女性生殖道病原微生物检测,观察HPV分型和病原微生物在宫颈鳞状细胞癌和尖锐湿疣患者中的分布,并探讨其相关性。方法 选取2020年1月—2022年8月于东莞市大朗医院接受治疗的80例宫颈鳞状细胞癌患者(宫颈癌组),另选取同期入本院妇科和皮肤科门诊临床诊断为尖锐湿疣的80例女性患者(尖锐湿疣组)。检测HPV分型和生殖道病原微生物,观察HPV分型和生殖道病原微生物在宫颈鳞状细胞癌和尖锐湿疣患者中的分布情况,并分析其相关性。结果 80例宫颈鳞状细胞癌患者中,HPV16感染占比为62.12%,HPV18感染占比为21.21%,单纯疱疹病毒Ⅱ型(HSVⅡ)感染占比为28.75%,解脲支原体(UU)感染占比为13.75%,主要以HPV16、HPV18和HSVⅡ、UU感染为主;80例尖锐湿疣女性患者中,HPV6感染占比为44.90%,HPV11感染占比为38.78%,UU感染占比为38.75%,沙眼衣原体(CT)感染占比为17.50%,主要以HPV6、HPV11和UU、CT感染为主,且宫颈癌组中HPV阳性率(82.50%)明显高于尖锐湿疣组(61.25%)(P<0.05);宫颈癌组中病原微生物阳性率(53.75%)明显低于尖锐湿疣组(71.25%)(P<0.05);宫颈癌组HPV阳性的患者中CT和UU阳性占比明显低于尖锐湿疣组HPV阳性患者(P<0.05),宫颈癌组HPV阳性的患者中HSVⅡ阳性占比明显高于尖锐湿疣组HPV阳性患者(P<0.05);宫颈癌组HPV阴性的患者中UU和HSVⅡ的感染率明显高于尖锐湿疣组HPV阳性患者(P<0.05)。HPV16、HPV18、HPV52、HPV58、HPV33、HPV11、HPV45、HPV6、HPV59与CT、UU、HSVⅡ之间均呈正相关(P<0.05)。结论 宫颈鳞状细胞癌患者HPV感染以HPV16、HPV18亚型和病原微生物HSVⅡ和UU为主,而尖锐湿疣患者以HPV6、HPV11亚型和病原微生物UU和CT为主,且HPV亚型与CT、UU、HSVⅡ呈正相关。

       

      Abstract: Objective To analyze the distribution of HPV types and pathogenic microorganisms in patients with cervical squamous cell carcinoma and condyloma acuminatum through detection of HPV virus and female genital tract pathogens, and to explore the potential correlation.Methods A total of 80 patients with cervical squamous cell carcinoma who were admitted to Dongguan Dalang Hospital from January 2020 to August 2022 were selected as the cervical carcinoma group. Meanwhile, another 80 female patients who were admitted to our hospital and diagnosed with condyloma acuminatum were selected as the condyloma acuminatum group. Their HPV typing and genital tract pathogenic microorganisms were detected to observe the distribution of HPV types and genital tract pathogenic microorganism, and their correlation was analyzed.Results Infections with HPV16, HPV18, HSVⅡ and Ureaplasma urealyticum(UU) were predominant in patients with cervical squamous cell carcinoma, where HPV16 infection rate was 62.12%, HPV18 infection rate was 21.21%, HSVⅡ infection rate was 28.75%, and UU infection rate was 13.75%. In contrast, infections with HPV6, HPV11, UU and chlamydia trachomatis(CT) were predominant in patients with condyloma acuminatum, where HPV6 infection rate was 44.90%, HPV11 infection rate was 38.78%, UU infection rate was 38.75%, and CT infection rate was 17.50%. The HPV positive rate was higher in the cervical carcinoma group than that in the condyloma acuminatum group(82.50% vs 61.25%, P<0.05). The cervical carcinoma group showed a remarkable lower positive rate of pathogenic microorganisms than the condyloma acuminatum group(53.75% vs 71.25%, P<0.05). The CT and UU positive rates in HPV-positive patients of the cervical carcinoma group were significantly lower than those in HPV-positive patients of the condyloma acuminatum group(P<0.05), while the HSVⅡ positive rate in HPV-positive patients of the cervical carcinoma group was significantly higher than that in HPV-positive patients of the condyloma acuminatum group(P<0.05). The UU and HSVⅡ infection rates in HPV-negative patients of the cervical carcinoma group was significantly higher than those in HPV-positive patients of the condyloma acuminatum group(P<0.05). There was a positive correlation between HPV16, HPV18, HPV52, HPV58, HPV33, HPV11, HPV45, HPV6, HPV59 and CT, UU and HSVⅡ(P<0.05).Conclusions HPV16 and HPV18 subtypes and pathogenic microorganisms HSVⅡ and UU are predominate in patients with cervical squamous cell carcinoma, while HPV6 and HPV11 subtypes and pathogenic microorganisms UU and CT are predominate in patients with condyloma acuminatum. HPV subtypes are positively correlated with CT, UU and HSVⅡ.

       

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