隋霜, 尼牙孜玛依努尔, 朱开春, 王琳, 陆萍, 焦桢, 纪莎. HPV分型检测在维吾尔族和汉族宫颈癌机会性筛查中的意义*[J]. 中国肿瘤临床, 2014, 41(16): 1026-1030. DOI: 10.3969/j.issn.1000-8179.20140212
引用本文: 隋霜, 尼牙孜玛依努尔, 朱开春, 王琳, 陆萍, 焦桢, 纪莎. HPV分型检测在维吾尔族和汉族宫颈癌机会性筛查中的意义*[J]. 中国肿瘤临床, 2014, 41(16): 1026-1030. DOI: 10.3969/j.issn.1000-8179.20140212
SUI Shuang, NIYAZ Mayenur, ZHU Kaichun, WANG Lin, LU Ping, JIAO Zhen, JI Sha. Significance of human papilloma virus subtype detection in opportunistic screening for cervical cancer in Uygur and Han women[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2014, 41(16): 1026-1030. DOI: 10.3969/j.issn.1000-8179.20140212
Citation: SUI Shuang, NIYAZ Mayenur, ZHU Kaichun, WANG Lin, LU Ping, JIAO Zhen, JI Sha. Significance of human papilloma virus subtype detection in opportunistic screening for cervical cancer in Uygur and Han women[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2014, 41(16): 1026-1030. DOI: 10.3969/j.issn.1000-8179.20140212

HPV分型检测在维吾尔族和汉族宫颈癌机会性筛查中的意义*

Significance of human papilloma virus subtype detection in opportunistic screening for cervical cancer in Uygur and Han women

  • 摘要: 目的: 探讨人乳头瘤病毒(HPV)分型检测在维吾尔族和汉族宫颈癌机会性筛查中的意义。 方法: 采用宫颈细胞学检查和HPV分型检测对1 140例患者行宫颈癌机会性筛查,共438例患者在阴道镜下行宫颈活检,评价HPV分型检测的诊断价值。 结果: 1 140例HPV总感染率为30.3%(345/1 140),检出的高危型HPV主要型别依次为HPV16、58、52、18、45型。汉族HPV52型感染率高于维吾尔族,差异具有统计学意义(χ2=8.737,P=0.003)。1 140例患者中单一感染率为22.4%(255/1 140),多重感染率为6.1%(69/1 140),HPV分型检测诊断宫颈病变的灵敏度为86.4%(209/242)、特异度为24.5%(48/196)、阳性预测值为58.5%(209/357)、阴性预测值为59.3%(48/81)。 结论: 维吾尔族和汉族HPV感染型别各有其自身特点,HPV分型检测对宫颈病变的诊断有重要价值。

     

    Abstract: Objective: This study investigates the significance of human papilloma virus (HPV) subtype detection in opportunistic screening for cervical cancer in Uygur and Han women. Methods: Flow-through hybridization gene chip and thin-prep cytology test were used to detect HPV in cervical cell samples from 1140 females. A total of 428 patients had undergone cervical biopsies through colposcopy. The diagnostic results of the HPV subtype test for cervical lesions were evaluated on the basis of histology. Results: Total HPV infection rate for the 1140 cervical samples was 30.3%. The most common HPV subtypes were HPV16, HPV58, HPV52, HPV18, and HPV45. HPV52 infection rate was higher in Han women than in Uygur women, with statistically significant differences between the two (χ2=8.737, P=0.003). Among these cervical samples, the single HPV infection rate was 22.4% (255/1140), whereas the multiple HPV infection rate was 6.1% (69/1140). The sensitivity and specificity of the HPV subtype test for cervical lesions were 86.4% and 24.5%, respectively. The positive and negative predictive values were 58.5% and 59.3%. Conclusion: HPV infection subtypes in Ugyur and Han women have unique characteristics. Subtype detection is important in opportunistic screening for cervical cancer.

     

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