浙江省东阳市男性人乳头瘤病毒感染亚型检测及流行病学分析

Qiaogang Wang, Liya Chen
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摘要

目的了解东阳地区男性人乳头瘤病毒(HPV)感染情况及流行病学分布,为相关疾病的防治提供科学依据。方法回顾性分析2018年1月至2018年12月在东阳市人民医院男科就诊的712例男性患者HPV 21分型检测结果。数据差异采用SPSS 19.0软件进行分析。结果共检出男性样本712份,其中HPV阳性210份,阳性率为29.54%。210份阳性样本中,单次感染141例,占67.14%,多次感染69例,占32.86%。按年龄分组后,> 60岁组阳性率最高,为6/11,其次为<20岁组(37.50%,15/40)、21-40岁组(29.56%,149/504)、41-60岁组(25.48%,40/157)。两组HIV阳性率比较,差异有统计学意义(P<0.05)。第三季度和第四季度的阳性率分别为35.20%(63/179)和32.04%(58/181),显著高于第一季度和第二季度的阳性率分别为28.90%(50/173)和21.79% (39/179)(P<0.05)。210例HIV患者中,最常见的症状是疣(26.67%,56/210),其次是阴茎赘肉(18.10%,38/210)和尿路感染(14.76%,31/210)。结论东阳地区男性HPV感染率较高,以HPV6型、HPV11型和HPV16型为主要感染类型,且多数为单一感染类型。20岁以下和60岁以上患者HIV阳性率较高。第三季度和第四季度的阳性检出率较高,且分布具有一定的季节性相关性。大多数人乳头瘤病毒患者在临床诊断为疣。关键词:人乳头瘤病毒;低风险;高风险;感染
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Detection and epidemiological analysis of human papillomavirus infection subtypes in males in Dongyang, Zhejiang Province
Objective To investigate the prevalence and epidemiologic distribution of human papillomavirus (HPV) infection in males in Dongyang area, and to provide scientific basis for the prevention and treatment of related diseases. Methods A retrospective analysis was made on the results of HPV 21 typing test in 712 male patients who were treated in Department of Andriatrics in Dongyang People’s Hospital from January 2018 to December 2018. Data differences were analyzed by SPSS 19.0 software. Results A total of 712 male samples were detected, of which 210 males were HPV positive, with the positive rate of 29.54%. Among the 210 positive samples, there were 141 cases of single infection, accounting for 67.14%, and 69 cases of multiple infection, accounting for 32.86%. After patients were grouped by ages, the highest positive ratio was 6/11 in the > 60 years old group, followed by the <20 years old group (37.50%, 15/40), 21-40 years old group (29.56%, 149/504) and 41-60 years old group (25.48%, 40/157) sequentially. And there were statistical differences among these groups in HIV positive rate (P<0.05). The positive rates in the third quarter and the fourth quarter were 35.20% (63/179) and 32.04% (58/181) respectively, which were significantly higher than the first quarter and the second quarter, of which the positive rates were 28.90% (50/173) and 21.79% (39/179) respectively (P<0.05). Among the 210 HIV patients, the most common symptoms were warts (26.67%, 56/210), followed by penile vegetation (18.10%, 38/210) and urinary tract infection (14.76%, 31/210). Conclusions The HPV infection rate of male in Dongyang area is high, with HPV6, HPV11 and HPV16 as the main types, and most of patients have single type infection. The positive rate of HIV was higher in patients younger than 20 years and patients older than 60 years. The positive detection rates in the third quarter and the fourth quarter are high, and the distribution shows a certain seasonal correlation. Most of HPV patients are diagnosed with warts in clinical. Key words: Human papilloma virus; Low-risk; High-risk; Infection
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