无症状宫颈糜烂妇女的 Hpv 感染率及恶性病变前和恶性病变的风险:一项基于人群的研究

Pelin Oyardi, Funda Dağistanli, Merve Ecem Albayrak, Mustafa Ayhan Eki̇ci̇
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摘要

目的评估宫颈糜烂妇女的 HPV 感染率以及患宫颈癌前病变和恶性疾病的风险。 材料与方法:回顾性分析2014年1月至2019年12月期间接受宫颈癌筛查的32649名妇女的结果。比较了HPV阳性和HPV阴性宫颈糜烂女性的结果。采用Kruskal-Wallis检验和Chi-square检验比较组间数据。 结果在接受宫颈癌筛查的 32649 名妇女中,2566 人患有宫颈糜烂,1585 人(4.85%)HPV 阳性。在 126 名(4.91%)患有宫颈糜烂的妇女中发现了 HPV 阳性,而在患有宫颈糜烂和未患有宫颈糜烂的无症状妇女中,HPV 阳性的发生率无明显差异(P=0.112)。与普通人群一样,Hpv 16 和 18 在患有宫颈糜烂的妇女中最为常见。在 217 名(0.72%)无宫颈糜烂的妇女和 31 名(1.21%)有宫颈糜烂的妇女中发现了宫颈细胞学异常,明显高于无宫颈糜烂的妇女(P=0.045)。在 CIN 1、CIN 2、CIN 3、LSIL、HSIL 原位癌和宫颈病理学总异常结果方面,有宫颈糜烂和无宫颈糜烂的妇女没有明显差异。 结论有宫颈糜烂的无症状妇女的 HPV 感染率和宫颈病变的可能性与普通人群没有差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hpv prevalence and risk of premalignant and malignant lesions in women with asymptomatic cervical erosion: A population-based study
Objective: To evaluate the prevalence of HPV and the risk of the cervical premalignant and malignant diseases in women with cervical erosion. Material and Methods: The results of 32649 women who were screened for cervical cancer between January 2014 and December 2019 were retrospectively analyzed. The results of HPV positive and HPV negative women with cervical erosion were compared. Kruskal-Wallis test and Chi-square test was used to compare of data between the groups. Results: Of the 32649 women who were screened for cervical cancer, 2566 had cervical erosion and 1585 (4.85%) had HPV positivity. HPV was found to be positive in 126 (4.91%) women with cervical erosion and no significant difference in the incidence of HPV positivity in asymptomatic women with and without cervical erosion (p=0.112). As in the general population, Hpv 16 and 18 were found to be most common in women with cervical erosions. Abnormal cervical cytology was found in 217 (0.72%) women without cervical erosion and 31 (1.21%) women with cervical erosion, which was significantly higher than in women without cervical erosion (p=0.045). There was no significant difference between those with and without cervical erosion in terms of CIN 1, CIN 2, CIN 3, LSIL, HSIL in situ cancer and total abnormal cervical pathology results. Conclusion: The incidence of HPV and the likelihood of cervical pathology in asymptomatic women with cervical erosion do not differ from the general population.
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