妇科门诊育龄期女性阴道炎特征以及HPV亚型分布情况
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湖口县妇幼保健院

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Features of vaginitis and distribution of HPV subtypes in women of childbearing age in the gynecological outpatient clinic
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    摘要:

    目的:分析妇科门诊育龄期女性阴道炎检测及人乳头状瘤病毒(HPV)特征。方法:回顾性收集2023年5月至2024年5月于湖口县妇幼保健院妇科门诊收治的70例常规体检且完成阴道炎检测、HPV检测的育龄期女性临床资料,统计阴道炎相关病原体分布、不同年龄段HPV感染情况以及HPV亚型分布情况,。结果:70例患者中,阴道炎阳性率44.28%,检出病原体中包括真菌21株、解脲脲原体11株、沙眼衣原体1株;HPV阳性检出率68.57%,以18~30岁HPV阳性感染率最高(52.08%),其次为>40岁(39.58%),均高于31~40岁(8.33%)(P<0.05);HPV亚型分布前5位为HPV-52型(29.17%)、HPV-58型(18.75%)、HPV-51型(12.50%)、HPV-53型(10.42%)、HPV-16型(6.25%);结论:妇科门诊育龄期女性阴道炎、HPV检出率较高,阴道炎感染病原体主要为真菌、解脲脲原体,以单一HPV亚型感染为主,亚型分布以HPV-52型、HPV-58型、HPV-51型、HPV-53型、HPV-16型较为常见,应重点加强18~30岁、>40岁女性群体HPV防治工作。

    Abstract:

    Objective: To analyze vaginitis and human papillomavirus (HPV) features in women of childbearing age in the gynecological outpatient clinic. Methods: The clinical data of 70 women of childbearing age who underwent routine health check-ups and completed vaginitis and HPV testing at the gynecological outpatient clinic of Hukou County Maternal and Child Health Hospital from May 2023 to May 2024 were retrospectively collected. The distribution of vaginitis related pathogens, HPV infection in different age groups, and distribution of HPV subtypes were statistically analyzed. Results: In this study, the positive rate of vaginitis was 44.28%. Among detected pathogens, there were 21 strains of fungi, 11 strains of Ureaplasma urealyticum, and 1 strain of Chlamydia trachomatis. The HPV positive rate was 68.57%, and HPV positive rate was the highest in the 18-30-year-old group (52.08%), followed by the >40-year-old group (39.58%). Both were higher than that in the 31-40-year-old group (8.33%) (P<0.05). The top 5 subtypes of HPV were HPV-52 (29.17%), HPV-58 (18.75%), HPV-51 (12.50%), HPV-53 (10.42%), and HPV-16 (6.25%). Conclusion: The detection rates of vaginitis and HPV are relatively high in women of childbearing age in the gynecological outpatient clinic. Fungi and Ureaplasma urealyticum are main pathogens causing vaginitis. Single HPV subtype infection is more common. HPV-52, HPV-58, HPV-51, HPV-53, and HPV-16 are more common HPV subtypes. It is important to strengthen the prevention and treatment of HPV infection in women aged 18-30 years and over 40 years old.

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邱淑娜.妇科门诊育龄期女性阴道炎特征以及HPV亚型分布情况[J].四川生理科学杂志,2025,47(6):

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  • 收稿日期:2025-02-14
  • 最后修改日期:2025-04-10
  • 录用日期:2025-05-09
  • 在线发布日期: 2025-06-22
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