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重庆医科大学附属第二医院妇产科
纸质出版日期:2017,
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秦勤, 常淑芳, 孙江川, 等. 宫颈上皮内瘤变患者HPV感染与阴道微生态关系研究[J]. 重庆医科大学学报, 2017,42(5):587-590.
Qin Qin, Chang Shufang, Sun Jiangchuan, et al. Study of vaginal microenvironment and humn papilloma virus infection for patients with cervical intraepithelial neoplasia[J]. Journal of Chongqing Medical University, 2017,42(5):587-590.
秦勤, 常淑芳, 孙江川, 等. 宫颈上皮内瘤变患者HPV感染与阴道微生态关系研究[J]. 重庆医科大学学报, 2017,42(5):587-590. DOI: 10.13406/j.cnki.cyxb.001299.
Qin Qin, Chang Shufang, Sun Jiangchuan, et al. Study of vaginal microenvironment and humn papilloma virus infection for patients with cervical intraepithelial neoplasia[J]. Journal of Chongqing Medical University, 2017,42(5):587-590. DOI: 10.13406/j.cnki.cyxb.001299.
目的:通过分析宫颈上皮内瘤变(cervical intraepithelial neoplasia
CIN)患者阴道微生态状况及宫颈锥切除术(loop electrosurgical excision procedure
LEEP)后人乳头瘤病毒(humn papilloma virus
HPV)持续感染与阴道微生态的关系
为CIN患者治疗中恢复阴道微生态提供依据。方法:回顾2015年1月至2016年6月在我院进行LEEP术的CIN患者治疗前后阴道微生态状况及治疗后HPV持续感染情况。结果:722例患者中具有完整随访资料者383例
其中84.3%(323/383)的患者阴道微生态异常
38.4%(147/383)的患者检测出明确致病菌
以细菌性阴道病(bacterial vaginosis
BV)为主。接受LEEP术治疗后
51例患者HPV持续阳性
其中76.5%(39/51)阴道微生态异常
BV和VVC的感染率分别为35.3%(18/51)和9.8%(5/51);332例患者HPV转阴
其中16.3%(45/332)微生态异常
BV及外阴阴道假丝酵母菌病(vulvovvaginal candidiasis
VVC)的感染率分别为6%(20/332)和1.2%(4/332)
与术后HPV持续阳性患者相比
其阴道微生态异常发生率及BV、VVC的感染率明显下降(P<0.05)。结论:合并HPV感染的CIN患者阴道微生态失调较为普遍
其中以BV感染最为常见
CIN术后HPV持续阳性与阴道微生态异常及BV、VVC感染有关
提示清除致病菌、恢复阴道微生态在CIN治疗中十分重要。
Objective:To analyze the vaginal micro-ecological condition and humn papilloma virus(HPV)infection for patients with cervical intraepithelial neoplasia(CIN)before and after loop electrosurgical excision procedure(LEEP)
and to provide references for restoring vaginal micro-ecological condition in the treatment of CIN. Methods:Retrospective analysis has proceed in patients who was diagnosed as CIN with HPV infection and treated by LEEP from January 2015 to June 2016 at the Second Affiliated Hospital of Chongqing Medical University;their vaginal microflora and HPV infection were evaluated before and after LEEP. Results:Totally 383 patients out of 722 patients have with complete follow-up data. Patients with vaginal microflora imbalance accounted for 84.3%(323/383)
and patients with clearly diagnosed pathogens accounted for 38.3%(147/383);the incidences of bacterial vaginosis(BV)
vulvovvaginal candidiasis(VVC)
trichomonas vaginitis(TV)and aerobe vaginosis(AV)were 27.4%(105/383)
7.0%(27/383)
2.3%(9/383)
1.6%(6/383)
respectively. After LEEP treatment
fifty-one of the 383 patients was positive for HPV persistently
and vaginal microflora imbalance accounted for 76.5%(39/51)for those HPV positive;the incidences of BV and VVC were 35.3%(18/51)and9.8%(5/51)
respectively. The rest of the 332 patients was negative for HPV
vaginal microflora imbalance accounted for 16.3%(45/332);the incidences of BV and VVC were 6%(20/332)and 1.2%(4/332)
respectively. The incidence of imbalanced vaginal micro-ecological
BV and VVC was significantly higher in patients with HPV positive than in patients with HPV negative post-LEEP(P<0.05). Conclusion:The imbalanced vaginal micro-ecological is prevalent in CIN patients with HPV infection
and the BV is the most common pathogens. HPV persistent infection for CIN post-LEEP is related to vaginal microflora imbalance and pathogens infection such as BV and VVC
which indicates that is very importent to restore the vaginal micro-ecological balance and clear the pathogens during CIN treatment.
宫颈上皮内瘤变人乳头瘤病毒感染阴道微生态
cervical intraepithelial neoplasiahumn papilloma virus infectionvaginal microenvironment
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