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预防医学  2026, Vol. 38 Issue (4): 429-432    DOI: 10.19485/j.cnki.issn2096-5087.2026.04.023
  妇幼保健 本期目录 | 过刊浏览 | 高级检索 |
德清县女性人乳头瘤病毒感染状况分析
陈建元, 徐国琴, 姚云蕾
德清县妇幼保健计划生育服务中心,浙江 德清 313200
Human papillomavirus infection status among women in Deqing County
CHEN Jianyuan, XU Guoqin, YAO Yunlei
Deqing Maternal and Child Health and Family Planning Service Center, Deqing, Zhejiang 313200, China
全文: PDF(788 KB)  
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摘要 目的 分析浙江省德清县35~64岁女性人乳头瘤病毒(HPV)感染状况,为宫颈病变防治提供参考。方法 选择2022—2024年于德清县妇幼保健计划生育服务中心行HPV与液基薄层细胞学检查(TCT)联合宫颈癌筛查的35~64岁女性为研究对象,分析其HPV感染率及亚型分布、上皮细胞异常阳性率和宫颈病变阳性率。结果 纳入16 155名女性,年龄以55~<60岁为主,8 200人占50.76%。HPV感染2 015例,感染率为12.47%。高危型HPV感染1 735例,占86.10%,感染率为10.74%。低危型HPV感染280例,占13.90%,感染率为1.73%。感染率居前3位的HPV亚型依次是HPV52、58和16,感染率分别为3.46%、1.84%和1.18%。高危型HPV感染率、单一感染率和多重感染率均随年龄增加呈上升趋势(均P<0.05),60~64岁组达最高,分别为13.26%、10.96%和2.30%。高危型HPV感染女性宫颈上皮细胞异常阳性率为27.43%,高于低危型HPV感染女性的2.86%(P<0.05);其中高危型HPV感染女性的低级别鳞状上皮内病变、无明确诊断意义的非典型鳞状细胞阳性率高于低危型HPV感染女性(均P<0.05)。宫颈病变阳性150例,宫颈病变阳性率为8.65%。结论 德清县35~64岁女性HPV感染率处于国内中等水平,其中HPV52、58和16为主要亚型,感染率随年龄增长而上升,需加强高危型HPV感染女性宫颈病变筛查。
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陈建元
徐国琴
姚云蕾
关键词 人乳头瘤病毒宫颈病变基因分型液基薄层细胞学检查    
AbstractObjective To analyze the infection status of human papillomavirus (HPV) among women aged 35-64 years in Deqing County, Zhejiang Province, so as to provide a reference for the prevention and treatment of cervical lesions. Methods Women aged 35-64 years who underwent combined cervical cancer screening with HPV and ThinPrep cytologic test (TCT) at the Deqing County Maternal and Child Health and Family Planning Service Center from 2022 to 2024 were selected as study participants. The HPV infection rate and subtype distribution, positive rate of epithelial cell abnormalities, and positive rate of cervical lesions were analyzed. Results A total of 16 155 women were included, with the 55-<60 years age group being the most prevalent, accounting for 8 200 (50.76%). HPV infection was detected in 2 015 cases, with an infection rate of 12.47%. High-risk HPV infection was detected in 1 735 cases (86.10%), with an infection rate of 10.74%. Low-risk HPV infection was detected in 280 cases (13.90%), with an infection rate of 1.73%. The top three HPV subtypes with the highest infection rates were HPV52, 58, and 16, with infection rates of 3.46%, 1.84%, and 1.18%, respectively. The rates of high-risk HPV infection, single infection, and multiple infection all showed an upward trend with increasing age (all P<0.05), peaking in the group aged 60-64 years, at 13.26%, 10.96%, and 2.30%, respectively. The positive rate of cervical epithelial cell abnormalities in women with high-risk HPV infection was higher than in women with low-risk HPV infection (27.43% vs. 2.86%, P<0.05). Among them, the positive rates of low-grade squamous intraepithelial lesions and atypical squamous cells of undetermined significance were higher in women with high-risk HPV infection than in women with low-risk HPV infection (both P<0.05). Cervical lesions were detected in 150 cases, with a positive rate of 8.65%. Conclusions The HPV infection rate among women aged 35-64 years in Deqing County was at a moderate level nationally, with HPV52, 58, and 16 being the predominant subtypes. The infection rate increases with age, highlighting the need for enhanced cervical lesions screening among women with high-risk HPV infection.
Key wordshuman papillomavirus    cervical lesion    genotyping    thinprep cytologic test
收稿日期: 2025-09-19      修回日期: 2026-03-31      出版日期: 2026-04-10
中图分类号:  R711.74  
作者简介: 陈建元,本科,副主任医师,主要从事妇女保健工作
通信作者: 徐国琴,E-mail:dqcjy2008@163.com   
引用本文:   
陈建元, 徐国琴, 姚云蕾. 德清县女性人乳头瘤病毒感染状况分析[J]. 预防医学, 2026, 38(4): 429-432.
CHEN Jianyuan, XU Guoqin, YAO Yunlei. Human papillomavirus infection status among women in Deqing County. Preventive Medicine, 2026, 38(4): 429-432.
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https://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2026.04.023      或      https://www.zjyfyxzz.com/CN/Y2026/V38/I4/429
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