Clinical significance of human papilloma virus infection in the cervical lesions.

Frontiers of medicine in China Pub Date : 2010-09-01 Epub Date: 2010-07-16 DOI:10.1007/s11684-010-0094-6
Shuang Li, Yu-Han Meng, Hu Ting, Jian Shen, Ding Ma
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引用次数: 6

Abstract

Cervical lesions have been regarded as the common and frequently occurring diseases in China. Recently, the morbidity and youth tendency of cervical cancer have gradually increased. Cervical cancer, related with human papilloma virus (HPV) infection, has been one of the severest diseases threatening health and life of women, and is an infectious disease. The universality of HPV infection in the reproductive tract should not be ignored. The well-known risk factors of HPV infection in cervical lesions consist of high-risk sexual behaviors, immunosuppression, age, contraceptive methods, the concurrent infection of other sexually transmitted diseases, etc. The variation of cervical lesions induced by HPV infection is involved in the continuous pathological process, including the subclinical, latent, and persistent infection of high risk (HR)-HPV, chronic cervicitis with abnormal results of cytological examination, cervical intraepithelial neoplasia (CIN), and cervical cancer. The outcome of patients with HPV infection is influenced by many factors, such as HPV subtype dominance, persistent HPV infection, HPV loading dose, and multiple HPV infection. Controlling HR-HPV persistent infection should be an important strategy for reducing cervical lesions.

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人乳头瘤病毒感染宫颈病变的临床意义。
宫颈病变一直被认为是中国的常见病和多发病。近年来,宫颈癌的发病率和年轻化趋势逐渐上升。宫颈癌与人乳头瘤病毒(HPV)感染有关,是威胁妇女健康和生命的最严重疾病之一,是一种传染性疾病。生殖道HPV感染的普遍性不容忽视。众所周知,宫颈病变中HPV感染的危险因素包括高危性行为、免疫抑制、年龄、避孕方法、同时感染其他性传播疾病等。HPV感染引起的宫颈病变变化涉及持续的病理过程,包括亚临床、潜伏、持续感染高危(HR)型HPV、细胞学检查结果异常的慢性宫颈炎、宫颈上皮内瘤变(CIN)、宫颈癌。HPV感染患者的预后受多种因素影响,如HPV亚型优势、持续性HPV感染、HPV负荷剂量、多发HPV感染等。控制HR-HPV持续感染应是减少宫颈病变的重要策略。
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