METHODS: Retrospective analysis of high-risk HPV prevalence of 16,150 women from 2020 to 2022 in xianning of China. HPV genotyping was performed using a PCR-RDB Kit that can detect 18 high-risk HPV genotypes recommended by China\'s National Medical Products Administration. The prevalence of 18 high-risk HPV genotypes and their relationship with cervical lesions as well as vaccine efficacy were analyzed.
RESULTS: A total of 2431 women were confirmed to have different types of high-risk HPV infections. The overall positive rate reached 15.05%(2431/16,150). The most prevalent high-risk HPV genotypes were HPV52, 16, 58, 53, and 51. The prevalence of high-risk HPV reached peak at age ≤ 20(20.95%) and age ≥ 61(20.56%). The most prevalent high-risk HPV genotypes were HPV16, 58, 18, 33 and 52 in cervical cancer cases, HPV16, 52, 58, 33 and 18 in CIN2/3 cases, and HPV52, 58, 16, 53 and 18 in CIN1 cases, respectively.
CONCLUSIONS: HPV16, 58 and 18 are the most dangerous and carcinogenic genotypes in xianning, China. Conducting epidemiological investigations on high-risk HPV has significant clinical value in guiding HPV vaccination work.
方法:回顾性分析2020-2022年中国咸宁市16,150例女性高危型HPV流行情况。HPV基因分型使用PCR-RDB试剂盒进行,该试剂盒可检测中国国家药品监督管理局推荐的18种高危型HPV基因型。分析18种高危型HPV基因型的患病率及其与宫颈病变的关系以及疫苗的疗效。
结果:共有2431名女性被证实患有不同类型的高危型HPV感染。总阳性率达15.05%(2431/16,150)。最普遍的高危型HPV基因型是HPV52、16、58、53和51。高危型HPV的患病率在≤20岁(20.95%)和≥61岁(20.56%)达到峰值。宫颈癌病例中最常见的高危型HPV基因型是HPV16、58、18、33和52。HPV16、52、58、33和18inCIN2/3例,和HPV52、58、16、53和18在CIN1病例中,分别。
结论:HPV16、58和18是咸宁最危险和致癌的基因型,中国。开展高危型HPV流行病学调查对指导HPV疫苗接种工作具有重要的临床价值。