社会人口学变量与OncoE6宫颈拭子试验阳性病例的相关性

Faijun Nahar, Md. Akram Hossain, S. K. Paul, S. Khatun, G. R. Bhuiyan, S. Nasreen, Salma Ahmed, N. Haque
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引用次数: 0

摘要

通过检测HPVE6癌蛋白,开展了一项横断面观察性研究,以确定社会人口学变量与宫颈癌发生的关系。于2015年1月至12月在孟加拉国迈门辛格医学院妇产科阴道镜诊所收集宫颈内膜拭子47份。实验室工作在同一机构的微生物学系完成。E6条带试验是一种基于宫颈拭子样本中HPV-E6癌蛋白检测的免疫层析试验。拭子标本分别用裂解液和调理液处理。然后将标本溶液离心澄清。之后,将样品溶液转移到检测器单抗瓶、洗涤液瓶中,最后转移到显影液瓶中。然后将测试单元放在阅读指南上。紫色试验线的出现表明阳性结果。47例标本中OncoE6阳性21例(44.68%)。其中HPV-16型19例(90.48%),HPV-18型2例(9.52%)。11例组织学诊断为CIN的病例中,1例(9.09%)为阳性。然而,在cinii和CINIII类别中,宫颈拭子检查没有阳性病例。病理证实的22例宫颈癌中,20例(90.90%)阳性。将结果与社会人口学变量进行比较。OncoE6在≥50岁年龄组、18岁前结婚者和多产妇女中较常见(P<0.05)。应加强宫颈癌预防服务,包括健康教育、OncoE6筛查和抗hpv疫苗接种。《中国医学杂志》2022年7月第11期[p]: 152-157
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Correlation between Sociodemographic Variables and OncoE6 Cervical Swab Test Positive Cases
A cross-sectional, observational study was conducted to determine the relationship between sociodemographic variables and the development of cervical cancer through detection of detection of HPVE6 oncoprotein. A total of 47 endocervical swabs were collected from colposcopy clinic under the Department of Obstetrics & Gynaecology, Mymensingh Medical College, Mymensingh, Bangladesh, from January to December of 2015. Laboratory work was done in the Department of Microbiology of the same institution. E6 strip test is an immunochromatographic test based on detection of HPV-E6 oncoprotein in cervical swab samples. The swab specimen was treated with lysis solution and conditioning solution. Then the specimen solution was clarified by centrifugation. After that the sample solution was transferred into the detector mAb vial, wash solution vial, and finally, into developing solution vial. The test unit was then placed on a reading guide. Positive result was indicated by the appearance of purple colored test line. Out of 47 specimens, 21 (44.68%) were OncoE6 positive. Among those 21 positive cases, 19 (90.48%) were HPV-16 and 2 were (9.52%) HPV-18. Out of 11 histologically diagnosed CIN I cases, 1 (9.09%) case came out as positive. However, there were no positive cases by oncoE6 cervical swab test in CIN II and CINIII categories. Among histopathologically confirmed 22 cervical carcinoma cases, 20 (90.90%) came out as positive through this test. The results were compared with sociodemographic variables. OncoE6 is more common among ≥50 age group, and who got married before 18 years, and in multiparous women (P<0.05). Cervical cancer prevention services should be strengthen including health education, OncoE6 screening, and Anti-HPV vaccination. CBMJ 2022 July: vol. 11 no. 02 P: 152-157
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