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女性宫颈高危型HPV感染状况及其与宫颈病变剂量—效应关系分析

Analysis of High-risk HPV Cervical Infection and Its Dose-effect Relationship between hrHPV Virus Load and Cervical Lesion

  • 摘要: 目的 探讨女性宫颈高危型人乳头瘤病毒(hrHPV)感染现状并分析hrHPV病毒载量与宫颈病变之间剂量—效应关系。 方法 对26294份宫颈细胞学送检标本采用杂交捕获第二代方法(HC- Ⅱ)检测HPV-DNA含量,病毒载量以相对光单位(RLU)与界值点(Cutoff)比值衡量。以RLU/CO≥1.0为阳性。宫颈病变按组织学活检以CIN2及以上级别病变为病例。假设检验采用χ2检验;用Mantel趋势分析分析剂量—效应关系。结果 26294例受检对象总体阳性检出率为26.74%,年龄分布在15~84岁之间,平均年龄为(33.54±8.43)岁。hrHPV病毒载量与宫颈病变存在剂量—效应关系(χtrend=8.000,P<0.001)。结论 广东省女性hrHPV感染阳性检出率较高;hrHPV病毒载量与宫颈病变之间存在剂量—效应关系。

     

    Abstract: Objective To analyze high-risk human papillomavirus (hrHPV) infection in female cervix and determine the dose-effect relationship between hrHPV virus load and cervical lesion. Methods HPV-DNA virus load of 26294 cervical samples were detected by hybrid captureII(HC-II) system. The viral load was assessed by ratios of relative light units per cut off value (RLU/CO). Samples with relative light unit per cutoff value (RLU/CO) of ≥1.0 was defined as positive. Cervical lesions were detected by biopsies, cervical intraepithelial neoplasia geade 2 (CIN2) or higher-grade cervical lesions were determined as abnormal case. χ2 test was used for the statistical test and Mantel trend analysis was used to analyze the dose-effect relationship between hrHPV virus load and cervical lesion. Results The positive rate of hrHPV infection in 26294 samples was 26.74%, the age distribution ranged from 15 to 84 year old, the average age are of (33.54±8.43) years. Our statistical results showed dose-effect relationship between hrHPV virus load and cervical lesion (χtrend=8.000, P<0.001). Conclusion The positive detection rate of hrHPV in Guangdong province female was relatively high; there are dose-effect relationship between hrHPV virus load and cervical lesion.

     

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