Abstract:【Objective】To investigate the epidemic and subtype distribution of human papilloma virus (HPV) of female outpatients in Wuhan in order to provide guidance for prevention and treatment of HPV infection. 【Methods】 HPV infection and typing were detected by DNA molecular rapid diversion hybridization gene chip technology, and the positive or negative and genotype were judged according to the location of the subtype distribution in the chip.【Results】 HPV typing detection was performed in 6,617 patients, and 1,856 of them were positive for HPV, and the positive rate was 28.05%; 1,856 patients were infected with HPV subtype 2,543 times, The most common types of infection were HPV16 (30.28%), HPV52 (18.75%), HPV58 (15.03%), HPV18 (8.78%) and HPV33 (8.51%) ; Among them, the infection rate of the high-risk combined with low-risk subtype was 91.11%, and increased with age. HPV infected women mainly concentrated in the age of 31~50 years old, accounting for 66.16%; the highest positive rate was among those younger or equivalent to 20 years old, reached 35.05%; The single subtype of HPV infection took the majority , accounting for 73.06%. Among the multiple infections, the dual infection played a main role, and the common model for dual infection were HPV16+HPV52 and HPV16+HPV58.【Conclusion】 The HPV infection rate of female outpatients in Wuhan is rather high, and the population is concentrated on 31~50 years old. The main infection genotypes include high risk subtypes like HPV16, HPV52, HPV58, HPV18 and HPV33.
乔斌;李艳;汪明;赖宇. 2011~2015年武汉市6617例女性患者HPV感染流行情况及亚型分析[J]. 医学临床研究, 2016, 33(10): 1873-1876.
QIAO Bin, LI Yan, WANG Ming,et al. Epidemiological Investigation of HPV Infections and Subtype Analysis of 6,617 Female Cases in Wuhan Area from 2011 to 2015. JOURNAL OF CLINICAL RESEARCH, 2016, 33(10): 1873-1876.
[1] 陈万青, 张思维, 曾红梅,等. 中国2010年恶性肿瘤发病与死亡[J].中国肿瘤, 2014, 23(1):1-10. [2] Saslow D, Solomon D, Lawson HW, et al. American cancer society, american society for colposcopy and cervical pathology, and american society for clinical pathology screening guidelines for the prevention and early detection of cervical cancer[J].J Low Genit Tract Dis,2012,16(3):175-204. [3] Quek SC, Lim BK, Domingo E,et al. Human papillomavirus type distribution in invasive cervical cancer and high-grade cervical intraepithelial neoplasia across 5 countries in asia[J].Int J Gynecol Cancer,2013,23(1):148-156. [4] Giuliano AR, Nyitray AG, Kreimer AR, et al. EUROGIN 2014 roadmap: Differences in human papillomavirus infection natural history, transmission and human papillomavirus‐related cancer incidence by gender and anatomic site of infection[J].Int J Cancer,2015, 136(12): 2752-2760. [5] Villiers EM, Fauquet C, Broker TR, et al. Classification of papillomaviruses[J].Virology,2004,324(1):17-27. [6] Clifford GM, Gallus S, Herrero R, et al. Worldwide distribution of human papillomavirus types in cytologically normal women in the international agency for research on cancer HPV prevalence surveys: A pooled analysis[J].Lancet,2005,366(9490):991-998. [7] Liu XX, Fan XL, Yu YP, et al. Human papillomavirus prevalence and type-distribution among women in zhejiang province, southeast china: A cross-sectional study[J].BMC Infect Dis,2014,14:708-714. [8] Li LK, Dai M, Clifford GM, et al. Human papillomavirus infection in shenyang city, people's republic of china: A population-based study[J].Bri J Cancer,2006,95(11):1593-1597. [9] 曾莉.广东地区人乳头瘤病毒的分子流行病学研究[D].广东:南方医科大学,2007. [10] 潘谷英, 周琦, 李倩,等. 孝感地区女性人乳头瘤病毒感染现状调查分析[J].中华实用诊断与治疗杂志, 2012, 26(2):207-208. [11] Pirek D, Petignat P, Vassilakos P, et al. Human papillomavirus genotype distribution among cameroonian women with invasive cervical cancer: A retrospective study[J].Sex Transm Infect,2015, 136(12): 1752-1760. [12] Zhao FH, Zhu FC, Chen W, et al. Baseline prevalence and type distribution of human papillomavirus in healthy chinese women aged 18-25 years enrolled in a clinical trial[J].Int J Cancer,2014,135(11):2604-2611. [13] 黄健云, 陈光辉, 莫和国,等. 某地区生殖器人乳头状瘤病毒感染现状调查及基因亚型分析[J].现代预防医学, 2015, (2):310-312. [14] Lebelo RL, Bogers JJ, Thys S, et al. Detection, genotyping and quantitation of multiple HPV infections in south african women with cervical squamous cell carcinoma[J].J Med Virol,2015, 36(17): 532-540. [15] Tanton C, Soldan K, Beddows S, et al. High-risk human papillomavirus (HPV) infection and cervical cancer prevention in britain: Evidence of differential uptake of interventions from a probability survey[J].Cancer Epidemiol Biomarkers Prev,2015,24(5):842-853. [16] 李发涛, 廖灿, 李焱,等. 人乳头状瘤病毒感染妇女的年龄及其亚型分析[J].中华医院感染学杂志, 2014, 24(17): 4345-4347.