实用肿瘤学杂志 ›› 2010, Vol. 24 ›› Issue (1): 53-55.doi: 10.3969/j.issn.1002-3070.2010.01.013

• 论著 • 上一篇    下一篇

高载量HR-HPV感染与宫颈癌及其癌前病变关系的研究

高玉华, 高岩, 汤巍巍, 王硕   

  1. 辽宁省肿瘤医院妇科(沈阳 110042)
  • 收稿日期:2009-12-22 出版日期:2010-02-28 发布日期:2015-01-23
  • 作者简介:高玉华,女,(1975-),硕士,主治医师,从事妇科肿瘤的临床与基础研究

Study on relationship between high viral loads of HR-HPV infection and cervical cancer and precancerous lesion

GAO Yuhua, GAO Yan, TANG Weiwei, WANG Shuo   

  1. Liaoning Provincial Cancer Hospital,Shenyang 110042
  • Received:2009-12-22 Online:2010-02-28 Published:2015-01-23

摘要: 目的 研究宫颈病变中HR-HPV病毒载量的分布,探讨高载量HR-HPV感染与宫颈癌及其癌前病变发生发展的关系。方法 对门诊就诊的3676名妇女进行HC-Ⅱ HPV DNA检测,按HPV病毒载量的不同分为4组:阴性组RLU/CO<1.0,低载量组1.0≤RLU/CO<10,中载量组10≤RLU/CO<100,高载量组RLU/CO≥100,采用非条件多项式logistic回归分析病毒载量与子宫颈各级病变的关系。结果 CINⅠ组高载量占23.07%,其OR值仅为9.42(95%CI:6.84-12.99);CINⅡ组高载量占30.84%,其OR值为22.55(95%CI:14.88-34.18);CINⅢ组高载量占47.89%,其OR值高达82.13(95%CI:52.69-128.03);宫颈癌组51.66%呈高病毒载量,其OR值更高达161.90(95%CI:109.45-239.50)。结论 HPV病毒载量与宫颈病变的严重程度密切相关,高载量HR-HPV持续感染预示着宫颈高度病变及宫颈癌。

Abstract: Objective To study the loads of HR-HPV in cervical diseases,and to explore the relationship between high viral loads of HR-HPV infection and cervical carcinoma,cervical intraepithelial neoplasia(CIN).Methods The study was carried out in Liaoning Cancer Hospital,3676 women who received treatment were recruited HPV DNA by hybrid capture Ⅱ(HC-Ⅱ),then they were divided into 4 groups basing on the different levels of the viral loads of HPV DNA:negative(RLU/CO<1.0),low viral loads(1.0≤RLU/CO<10),medium viral loads(10≤RLU/CO<100),high viral loads(RLU/CO≥100).The relationship between viral loads and various cervical diseases were analyzed by unconditional multi-normial logistic regression.Results In CIN1 group,there was 23.07% of patients in high viral loads,the odds ratio was only 9.42(95%CI:6.84-12.99).In CIN2 group,the proportion of high viral loads accounted for 30.84% with odds ratio to 22.55(95%CI14.88-34.18:).In CIN3 group,the proportion of high viral loads accounted for 47.89% with odds ratio up to 82.13(95%CI:52.69-128.03).In cervical carcinoma group,the proportion of high viral loads was 51.66% with odds ratio more higher up to 161.90(95%CI:109.45-239.50).Conclusion There is significant correlation between the viral loads of HR-HPV and severity of cervical lesion.High viral loads of HR-HPV which persistently infects predicts high degree of cervical diseases and cervical carcinoma.

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