老年子宫颈高危型HPV感染与子宫颈病变的相关性分析.pdfVIP

中国医科大学学报第43卷第8期2014年8月 ·691· ofChinaMedical V01．43No．8 Journal Universit．y Aug．2014 ·论著· 老年子宫颈高危型HPV感染与子宫颈病变的相关性分析 赵丽雅1，庞晓燕1，陈青青1，孟祥凯1，张颐1，王化丽2 (1．中国医科大学附属第一医院妇科，沈阳110001；2．大连市妇产医院妇科，辽宁大连116033) 摘要 对高危型HPV阳性且肉眼可疑子宫颈病变或子宫颈液基薄层细胞学检查(TCT)提示异常者行阴道镜下子宫颈活检。结果84 I Ⅲ10例(11．24％)；CIN 变HPV亚型感染主要为HPV 老年患者中HPV感染阳性率下降的同时，其致病率明显上升，故对老年HPV阳性患者应引起足够重视。 关键词老年妇女；子宫颈癌，筛查；人乳头瘤病毒；子宫颈活检 中图分类号R737．33文献标志码A 文章编号0258—4646(2014)08—0691—03 网络出版地址http：／／www．enki．net／kcms／detail／21．1227．R1702．019．html between andCervical in Females Correlation HPVInfection Lesionsthe Analysis Elderly ZHAO Hua—li2 Yil，WANG Li—yal，PANGXiao—yanl，CHENQing—qin91，MENGXiang—kail，ZHANG First (1．DepartmentofGynecology，The ban116033．China) Abstract To theinfectionconditionandtheclinic ofhuman inthe of Objective investigate significancepapillomavirus(HPV)testingscreening cervicallesionsinthe old)．MethodsFrom 2013．502 elderlyfemales(≥60yearsJanuary2013toOctoberelderlyfemales intheFirst detection Atfiliated ofChinaMedical chnic．PatientswithHPVDNA(+)andabnormal or Hospital Universitygynecological cyt010西cal abnormalinclinicwerefuFtherexamined Atotalof84 suspected by highly colposcopybiopsy．Results proved tobeidected the with received theresetswereas by patientspositiveHR—HPV，39 high-risk(