Hpv Dna阳性的评估İndividuals İn锡瓦斯省İn一些变量的条款

Sanem Nemmezi Karaca, Ç. Yıldız
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摘要

背景:子宫颈癌是妇女最常见的癌症之一,可导致死亡。揭示宫颈癌中HPV患病率和类型的分布对于治疗和疫苗接种策略仍然很重要。本研究的目的是确定人乳头瘤病毒(HPV)筛查阳性妇女的HPV DNA亚型,并评估其社会人口学特征和宫颈涂片结果。方法:研究对象为2015-2018年间由妇科医生或家庭医生指导到西瓦斯大学妇产科门诊就诊的215名妇女。研究人员填写了一份调查问卷,其中包括患者的年龄、教育水平和配偶双方的工作、吸烟状况、产科史和第一次性行为的年龄。数据采用SPSS (vers 23.0)程序分析,显著性水平为0.05。结果:HPV类型以16型和其他类型最常见;分别为47% (n: 101)、40% (n: 86)。ASCUS(未确定的非典型鳞状上皮细胞)、LGSIL(低级别鳞状上皮内病变)和HGSIL(高级别鳞状上皮内病变)的频率分别为7.9% (n: 17)、23.7% (n: 51)和1.9% (n: 4)。HPV类型与巴氏涂片结果的关系有统计学意义(p: 0.011)。患者及其配偶在受教育程度和职业方面没有差异;吸烟状况、月经周期、初次性行为年龄及计划生育方式、HPV类型差异有统计学意义(p> 0.05)。在55岁以上的女性中,只观察到两种类型的HPV DNA;分别为16型和其他类型(p: 0.005)。流产史与HPV类型的关系有统计学意义(p: 0.016)。结论:这项研究通过揭示在锡瓦斯省观察3年的HPV类型,为文献做出了贡献。
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Assesment Of Hpv Dna Positive İndividuals İn Sivas Province İn Terms Of Some Variables
Background: Cervical cancer is one of the most common cancers in women and causes death. Revealing the distribution of HPV prevalence and types in cervical cancer remains important for both treatment and vaccination strategies. The goal of this study is to determine the HPV DNA subtypes of women who are positive for Human Papilloma Virus (HPV) screening, and to evaluate their sociodemographic characteristics and cervical smear results. Methods: The study was conducted on 215 women who were directed to Sivas Cumhuriyet University Obstetry and Gynocology outpatient clinic by her gynocologists or family physicians between 2015-2018 years. A questionnary containing datas of patients about age, education levels and jobs of both spouses, smoking status, obstetric history and age of first sexual intercourse was filled out by the researcher. The data were analysed with SPSS (vers 23.0) program and significance level was taken as 0.05. Results: The most prevalent HPV types were type 16 and category of the others; with the rates of respectively 47% (n: 101), 40% (n: 86). The frequencies of ASCUS (undetermined atypical squamous epithelial cells), LGSIL (low-grade squamous intraepithelial lesion) and HGSIL (high-grade squamous intraepithelial lesion) were respectively found to be 7.9% (n: 17), 23.7% (n: 51) and 1.9% (n: 4). The relationship between HPV types and Pap Smear results was statistically significant (p: 0.011). There was no difference between patients and their spouses about education levels and occupations; and among patients on smoking status, menstrual patterns, age at first sexual intercourse and family planning methods and HPV types (p> 0.05). In women above aged 55, only two types of HPV DNA were observed; which were type 16 and category of the others (p: 0.005). The relationship between abortion history and HPV types was found out to be significant (p: 0.016). Conclusion: This study has contributed to the literature by revealing the types of HPV which observed in Sivas province over a period of 3 years.
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