■本研究旨在了解男性HPV感染的临床特征,并为该地区男女生殖道的预防和健康提供数据和信息。
■选择了从2017年12月至2022年5月在363家医院的门诊和体检中接受HPV检查的390名男性患者。样本被收集,HPV基因分型采用多重荧光PCR。HPV感染率,基因型分布,年龄分布,并对临床症状分布进行分析。
■在3,816个样本中,总HPV感染率为47.44%(185/390)。有症状组HPV感染率为57.09%(141/247),显著高于无症状组(P<.01)。在亚型中,HPV6占比最高(31.03%,90/290),其次是HPV11(14.14%,41/290)和HPV52(8.62%,25/290)。6型和11型主要集中在有症状组(91.11%,85.37%)。阳性率最高的是17-30岁组(45.41%,85/185),其次是31-40岁组(28.11%,52/185)。HPV沾染伴临床症状异常增长的比例为84.40%(119/141)。HPV6或/和HPV11感染主要集中在异常生长组,占90.76%(108/113)。
■男性HPV感染率很高,特别是17-40岁的人。低风险感染(6型和11型)引起男性生殖道症状,包括异常增长。高危感染(HPV52)与当地女性HPV亚型分布及潜在传播相关。因此,筛查男性HPV感染对预防宫颈癌至关重要.当局应促进男性HPV疫苗的开发和早期使用。
UNASSIGNED: This study aims to understand the clinical characteristics of male HPV infection and provide data and information for the prevention and health of the male and female reproductive tracts in the region.
UNASSIGNED: A total of 390 male patients who underwent HPV examinations in outpatient clinics and physical examinations in 363 hospitals from December 2017 to May 2022 were selected. Samples were collected, and HPV genotyping was performed using multiplex fluorescent PCR. The HPV infection rate, genotype distribution, age distribution, and clinical symptom distribution were analyzed.
UNASSIGNED: Out of 3,816 samples, the total HPV infection rate was 47.44% (185/390). The HPV infection rate in the symptomatic group was 57.09% (141/247), significantly higher than that in the asymptomatic group (P < .01). Among the subtypes, HPV6 accounted for the highest proportion (31.03%, 90/290), followed by HPV11 (14.14%, 41/290) and HPV52 (8.62%, 25/290). Types 6 and 11 were mainly concentrated in the symptomatic group (91.11%, 85.37%). The highest positive rate was observed in the 17-30-year-old group (45.41%, 85/185), followed by the 31-40-year-old group (28.11%, 52/185). The proportion of HPV infections with clinical symptoms of abnormal growth was 84.40% (119/141). HPV6 or/and HPV11 infections were mainly concentrated in the abnormal growth group, accounting for 90.76% (108/113).
UNASSIGNED: The rates of male HPV infection are high, particularly among individuals aged 17-40. Low-risk infections (types 6 and 11) cause male reproductive tract symptoms, including abnormal growth. High-risk infection (HPV52) correlates with local women\'s HPV subtype distribution and potential transmission. Therefore, screening for male HPV infection is crucial in preventing cervical cancer. Authorities should promote the development and early use of male HPV vaccines.