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Analysis of the Impact of Pharmacological Intervention on the Outcome of High-Risk HPV Infections
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作者 Juan Du 《Proceedings of Anticancer Research》 2024年第6期67-72,共6页
This study aims to evaluate the clinical effectiveness of different drug treatment regimens for cervical high-risk human papillomavirus (HR-HPV) infection. Through literature review and randomized group experiment des... This study aims to evaluate the clinical effectiveness of different drug treatment regimens for cervical high-risk human papillomavirus (HR-HPV) infection. Through literature review and randomized group experiment design, the study compares the HPV-DNA clearance rate, TCT results, and colposcopic biopsy findings among the control group, interferon group, and combination treatment group after six months of treatment. The results indicate that recombinant human interferon-2b vaginal effervescent tablets can effectively improve HPV clearance and reduce the risk of lesion progression, although individual responses to treatment vary. Combination therapy may enhance treatment efficacy by boosting immune response. The study also explores the relationship between drug treatment, viral load, cervical lesions, and vaginal microecology, providing scientific support for clinical medication decisions and offering a detailed analysis of the role of pharmacological intervention in the prognosis of HR-HPV infections. 展开更多
关键词 high-risk hpv infection Pharmacological intervention Viral clearance Cervical lesions Immune modulation
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Systematic Review and Meta-Analysis of Baofukang Suppository(保妇康栓)Combined with Interferon in the treatment of Cervical High-risk HPV Infection
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作者 CHEN Tong YU Yue +2 位作者 ZHANG Wu-fan ZHENG Dong-xue LIU Xin-min 《World Journal of Integrated Traditional and Western Medicine》 2021年第5期36-45,共10页
Objective:This study conducted a systematic review of randomized controlled trials in order to evaluate the efficacy and safety of Baofukang Suppository(保妇康栓)combined with interferon on cervical high-risk human pa... Objective:This study conducted a systematic review of randomized controlled trials in order to evaluate the efficacy and safety of Baofukang Suppository(保妇康栓)combined with interferon on cervical high-risk human papillomavirus(HR-HPV)infection.Methods:Data comes from China National Knowledge Infrastructure(CNKI),Wanfang database,the VIP information database,Chinese Biomedical Literature Database,PubMed,Cochrane Library,Web of Science and Embase.Primary and secondary outcome measures were extracted from 13 included randomized controlled trials:number of HR-HPV turning negative and effective,time of HPV turning negative,duration of abnormal vaginal secretions and adverse events.Results:Baofukang Suppository combined with interferon were better than interferon alone in improving the negative rate of HR-HPV(RR=1.42,95%CI[1.28,1.58],P<0.00001)and the effective rate of HR-HPV RR=1.3,95%CI[1.24,1.37],P<0.00001),time of HR-HPV turning negative(MD=-8.32,95%CI[-9.17,-7.47],P<0.00001),duration of abnormal vaginal secretions(MD=-8.95,95%CI[-11.34,-6.56],P<0.00001).However,there was no statistical difference in improving inflammatory factor(TNF-α:SMD=-0.49,95%CI[-1.02,0.03],Z=1.83,P=0.07;IL-6:SMD=-13.69,95%CI[-41.98,14.6],Z=0.95,P=0.34)and adverse events(RR=-0.73,95%CI[0.48,1.11,P=0.15)between two groups.Conclusion:The results showed that the efficacy of Baofukang Suppository combined with interferon were better than interferon alone in improving the negative and effective rate of HR-HPV,shortening the time of HR-HPV turning negative and duration of abnormal vaginal secretion and reducing adverse events. 展开更多
关键词 Baofukang Suppository INTERFERON high-risk hpv Meta-analysis Introduction
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Prevalence and Determinants of High-risk HPV Infection among 11549 Women from an Opportunistic Screening in Hubei Province 被引量:6
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作者 Quan-fu MA Yu-lin GUO +8 位作者 Han GAO Bin YAN Xuan DAI Meng XU Yu-jing XIONG Qiu-zi PENG Ying WANG Miao ZOU Xu-feng WU 《Current Medical Science》 SCIE CAS 2019年第4期622-630,共9页
High-risk human papillomavirus (hrHPV) infection plays an important role in the development of cervical intraepithelial neoplasia and cervical cancer.A total of 11 549 women were enrolled from the Maternal and Child H... High-risk human papillomavirus (hrHPV) infection plays an important role in the development of cervical intraepithelial neoplasia and cervical cancer.A total of 11 549 women were enrolled from the Maternal and Child Health Hospital of Hubei Province.Each participant accepted hrHPV testing and completed a self^administered questionnaire about basic information and potential risk factors.The univariable and multivariable logistic regression model was used to explore the associations between variants and hrHPV infection.Our results showed that hrHPV prevalence was 16.09% in Hubei Province,among which,hrHPV was more likely to be positive in women aged 51 years or above (OR=1.65,95% CI:1.28-2.14),and in women who had symptoms of bleeding after intercourse (OR=1.32,95% CI:1.17-1.50),had first sexual intercourse at the age of 18 years or below (OR=1.33,95% CI:1.07-1.64),had at least three male sexual partners (OR=2.50,95% CI:2.07-3.03),and who had been diagnosed with sexually transmitted infections (OR=1.50,95% CI:1.12-2.03).Married women (OR=0.66,95% CI:0.55-0.78) and women who frequently used condoms (OR=0.75,95% CI:0.67-0.84) had a relatively lower hrHPV prevalence.This study confirms that hrHPV infection was associated with age,marital status,symptoms of intercourse bleeding,history of sexually transmitted infections,and sex-related behaviors.Above all,this study provides a baseline database prior to obtaining vaccinations for dynamic tracking of the changes in hrHPV prevalence. 展开更多
关键词 high-risk human PAPILLOMAVIRUS CERVICAL cancer PREVALENCE risk FACTORS China
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Prevalence and Predictors of High-Risk HPV in Nigeria 被引量:1
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作者 Aigbe Gregory Ohihoin Patrick Azuka Okwuraiwe +15 位作者 Adesola Zaidat Musa Gbenga Olorunfemi Chika Kingsley Onwuamah Fehintola Ige Olufemi Samuel Amoo Rosemary Audu Felix Okogbo Babafemi Daniyan Terrumun Swende Geoffrey Chukwubuike Onyemelukwe Haruna Daru Hadiza Usman Oladapo Shittu Jonah Musa Oliver Chukwujekwu Ezechi Innocent Achanya Ujah 《Advances in Infectious Diseases》 CAS 2022年第4期745-757,共13页
Introduction: Cervical cancer remains a major cause of morbidity and mortality among the female population in sub-Saharan Africa. Vaccination against human papillomavirus (HPV), the main causative agent, has the poten... Introduction: Cervical cancer remains a major cause of morbidity and mortality among the female population in sub-Saharan Africa. Vaccination against human papillomavirus (HPV), the main causative agent, has the potential to eradicate cervical cancer. In-country evidence of sub-types of HPV associated with cervical cancer is scanty, thus necessitating this study. Methods: A cross-sectional study was performed using a multistage sampling technique. A molecular technique using the Cobas 4800 machine was used for genotyping. Results: 570 participants were recruited for the study. The mean age of the participants was 32.4 ± 5.2 years. The age of sexual debut ranged from 15 - 24 years with a median of 19 years. 194 participants were positive for high-risk HPV giving a prevalence of 34%. 3% (n = 17) were positive for HPV, 16. 4% (23) had a positive result for HPV, 18. 27% (n = 154) had a positive result for other high-risk groups (OHR) other than HPV 16 or 18. Positive status for high-risk HPV is associated with the presence of genital warts (OR = 7.5), a Positive HIV status (OR = 3.48), abnormal vaginal discharge (OR = 2.20), multiple sexual partners (OR = 2.30), and obesity (OR = 2.70). The prevalence of HIV in the study population was 6.84% (n = 39). Conclusion: Another High-risk HPV other than 16 and 18 appears to be the predominant form of HPV infection in Nigerian women. The risk of being positive for high-risk HPV is associated with the presence of genital warts, abnormal vaginal discharge, a positive HIV status, multiple sexual partners and Obesity. It is therefore necessary to disaggregate and study these high-risk sub-types. 展开更多
关键词 hpv Cervical Cancer PREVALENCE PREDICTORS NIGERIA
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Relationship between the high-risk HPV infection and the expression of oncogenes, anti-oncogenes in cervical dysplasia 被引量:1
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作者 Li-Ping Shi Xiu-Jie Sheng 《Journal of Hainan Medical University》 2017年第1期16-19,共4页
Objective:To study the relationship between the infection of high-risk HPV in cervical precancerous lesion and the expression of oncogene, anti-oncogene.Methods:218 cases ofcervical intraepithelial neoplasia patients ... Objective:To study the relationship between the infection of high-risk HPV in cervical precancerous lesion and the expression of oncogene, anti-oncogene.Methods:218 cases ofcervical intraepithelial neoplasia patients in our hospital during May 2014–May 2016 were chosed and divided into high-risk HPV group (n=107), low-risk HPV group (n=111) according to cervical tissue HPV test;another 100 cases of patients received cervical biopsy and confirmed as benign lesions were enrolled in the control group. RT-PCR method was used to detect the mRNA expression of proto-oncogene and anti-oncogene in three groups, Western-blot method was used to detect the protein expression of Sox-2 and Wnt/β-catenin signal pathway.Results: mRNA expression of oncogene DEK, Bmi-1, c-fos, K-ras, Prdx4 in high-risk HPV group were higher than low-risk HPV group and control group (P<0.05);mRNA expression of anti-oncogene P27, P16, DAPK, PTEN, eIF4E3 in high-risk HPV group were lower than low-risk HPV group and control group (P<0.05);expression of Sox-2 and Wnt/β-catenin signaling pathway protein Sox-2,β-catenin, wnt-1, wnt-3a in high-risk HPV group were higher than low-risk HPV group and control group (P<0.05).Conclusions:High-risk HPV infection can increase the expression of oncogenes and reduce the expression of anti-oncogenes in cervical dysplasia tissues on Sox-2- and Wnt/β-catenin signaling pathway manners. 展开更多
关键词 Cervical cancer PRECANCEROUS lesion high-risk hpv ONCOGENE Anti-oncogene
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Research progress on the relationship between high-risk HPV infection and urinary system tumor
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作者 Wenyan Yang 《国际感染病学(电子版)》 CAS 2017年第4期106-109,共4页
Human papillomavirus(HPV) is classified either as high-risk or low-risk types depending on its probability of leading to tumorigenesis. Many studies have shown that HPV infection, especially the high-risk kind, is alw... Human papillomavirus(HPV) is classified either as high-risk or low-risk types depending on its probability of leading to tumorigenesis. Many studies have shown that HPV infection, especially the high-risk kind, is always related to prostate cancer, bladder cancer, penile cancer, testicular cancer, and other urinary system tumors. However, previous studies differed in sexual openness and racial genetic susceptibility of the study object, sample size, and experimental methods. Hence, the correlation between high-risk HPV infection and urinary system tumors remains controversial. The early open reading frame of the HPV genome is composed of E1–E7, among which E6 and E7 are the key transfer proteins. The combination of these proteins with oncogene and anti-oncogene may be one of the mechanisms leading to tumorigenesis. 展开更多
关键词 hpv PROSTATE CANCER BLADDER CANCER PENILE CANCER TESTICULAR CANCER
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Relationship of high-risk HPV infection with MEKK3 and NF-κB expression in cervical intraepithelial neoplasia tissue
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作者 Yan-Fei Lu Guo-Qiang Chen Rui Chen 《Journal of Hainan Medical University》 2017年第5期17-20,共4页
Objective:To study the relationship of high-risk human papilloma virus (HPV) infection with mitogen-activated protein kinase/extracellular signal-regulated kinase 3 (MEKK3) and nuclear factorκB (NF-κB) expression in... Objective:To study the relationship of high-risk human papilloma virus (HPV) infection with mitogen-activated protein kinase/extracellular signal-regulated kinase 3 (MEKK3) and nuclear factorκB (NF-κB) expression in cervical intraepithelial neoplasia tissue.Methods:125 cases of cervical biopsy specimens between May 2013 and March 2016 were collected. The cervical inflammation specimens, cervical intraepithelial neoplasia specimens and cervical cancer specimens were included in inflammation group, CIN group and malignant group respectively. HPV-DNA typing detection kits were used to determine HPV typing, immunohistochemical kits were used to determine MEKK3 and NF-κB protein expression, and fluorescent quantitative PCR kits were used to determine the mRNA expression of MEKK3, NF-κB and downstream molecules.Results: MEKK3 and NF-κB protein expression in high-risk HPV-positive cervical tissue were significantly higher than those in high-risk HPV-negative cervical tissue (P<0.05), and MEKK3, NF-κB, Bcl-2, XIAP, Bmi-1, TGF-β and Vimentin mRNA expression in high-risk type HPV-positive cervical tissue were significantly higher than those in high-risk HPV-negative cervical tissue (P<0.05);Bcl-2, XIAP, Bmi-1, TGF-β and Vimentin mRNA expression in tissue with positive MEKK3 and NF-κB expression were significantly higher than those in tissue with negative MEKK3 and NF-κB expression (P<0.05).Conclusions:High-risk HPV infection will increase the expression of proliferation genes Bcl-2, XIAP and Bmi-1 as well as invasion genes TGF-β and Vimentin in cervical intraepithelial neoplasia tissue through MEKK3/NF-κB pathway. 展开更多
关键词 Cervical intraepithelial NEOPLASIA high-risk hpv MITOGEN-ACTIVATED protein kinase/extracellular SIGNAL-REGULATED KINASE 3 Nuclear factorκB
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High-Risk HPV Detection and Cytological Correlation in Cervical Cancer Screening: A Cross-Sectional Study in Dakar, Senegal
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作者 Babacar Ndiaye Mama Sy +8 位作者 Fatoumata Diombo Diao Abdou Diop Mareme Seye Thiam Adama Sene Rena Derwiche Samba Diao Thierno Abdoulaye Diallo Chantal Mahou Abdoulaye Seck 《Open Journal of Medical Microbiology》 2024年第4期215-224,共10页
Background: Cervical cancer is a significant global public health issue, with an effective screening strategy being a key challenge in its prevention. The primary objective of this study was to determine the prevalenc... Background: Cervical cancer is a significant global public health issue, with an effective screening strategy being a key challenge in its prevention. The primary objective of this study was to determine the prevalence of HPV and assess the contribution of molecular screening to primary cervical cancer detection in Dakar. Patients and Method: This cross-sectional study was conducted from January 2016 to December 2020. We compared cervico-vaginal smear results, classified according to the Bethesda 2014 system, with molecular screening results from the Cobas® 4800 HPV test (Roche). Additionally, we conducted a survey of health facilities in the Dakar medical region to evaluate the availability and accessibility (cost) of molecular testing. Results: A total of 106 patient files were analyzed. The mean age of the patients was 43.6 years (range: 22 - 76 years). Smears were normal in 41.5% of cases. Detected lesions included ASCUS (49.1%), LSIL (5.7%), and HSIL (3.8%). The overall prevalence of HPV infection was 30.2%, with non-genotype 16/18 high-risk HPV (HR HPV) infections being the most common (73%). Genotypes 16 and 18 were found in 16% and 11% of cases, respectively. Among normal smears, HPV was present in 11.3% of cases. HPV typing was positive in 40.3% of ASCUS smears and 83.3% of LSILs. HPV testing identified 85% of lesions classified as CIN2 or higher, compared to only 70% detected through cytology. The survey revealed that molecular HPV screening was unavailable in referral hospitals, and the high cost of testing in the private sector posed a significant barrier to access. Conclusion: Cervical cancer remains a serious public health issue in Senegal. The proven effectiveness of preventive measures, such as vaccination against the most oncogenic HPV types and molecular screening for HPV detection, could significantly reduce the incidence of this disease. 展开更多
关键词 Cervical Cancer hpv CYTOLOGY SCREENING Senegal
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非16/18高危型HPV感染与子宫颈癌前病变的关系研究
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作者 王小芹 王晖 +2 位作者 徐郑军 张长虹 王常宏 《中国妇产科临床杂志》 北大核心 2026年第1期7-10,共4页
目的探讨非16/18高危型人乳头瘤病毒(HPV)感染与子宫颈癌前病变的关系。方法回顾性纳入阜阳市人民医院2020年1月至2024年10月接诊的1154例非16/18高危型HPV阳性且液基薄层细胞学检查(TCT)阴性患者,均行阴道镜子宫颈活检,分析感染类型、... 目的探讨非16/18高危型人乳头瘤病毒(HPV)感染与子宫颈癌前病变的关系。方法回顾性纳入阜阳市人民医院2020年1月至2024年10月接诊的1154例非16/18高危型HPV阳性且液基薄层细胞学检查(TCT)阴性患者,均行阴道镜子宫颈活检,分析感染类型、HPV亚型、年龄与病理结果的相关性。结果861例(74.61%)为单一型感染,293例(25.39%)为混合型感染。高危型混合病例检出率明显高于高低危型混合病例(18.72%vs 6.67%,P<0.05)。病理显示:<LSIL、LSIL、HSIL、SCC检出率分别为74.44%、13.86%、11.61%和0.09%。混合型感染病例的HSIL检出率显著高于单一型感染病例(17.75%vs 9.52%,P<0.05)。单一型感染的前8位依次为52、58、53、68、31、39、56、33,LSIL主要关联亚型为68、58、59,HSIL主要关联亚型为68、58、52。HPV 33、52、59、68型在LSIL vs HSIL中差异有统计学意义(P<0.05)。年龄分布以35~44岁占比最高(32.32%),≥65岁患者的癌前病变检出率最高(42.86%),HSIL检出率随着年龄段的增加而增加。结论非16/18高危型HPV感染患者仍有较高的HSIL以上病变风险,对于TCT阴性的非16/18高危型HPV感染病例,仍有必要做阴道镜子宫颈活检。 展开更多
关键词 人乳头瘤病毒 子宫颈癌 高危型 阴道镜活检 癌前病变
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宫颈HPV感染痰湿体质的中医分析及益气健脾法疗效观察
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作者 王海颖 有小娟 赵长普 《辽宁中医杂志》 北大核心 2026年第3期78-81,共4页
目的探讨人乳头瘤病毒(human papillomavirus,HPV)感染患者中医体质与证型的相关性,并评估益气健脾祛湿解毒法在痰湿质HPV感染中的疗效及不良反应。方法分析2022年4月—2023年11月河南省中医院1500例宫颈HPV感染患者的体质,选取400例痰... 目的探讨人乳头瘤病毒(human papillomavirus,HPV)感染患者中医体质与证型的相关性,并评估益气健脾祛湿解毒法在痰湿质HPV感染中的疗效及不良反应。方法分析2022年4月—2023年11月河南省中医院1500例宫颈HPV感染患者的体质,选取400例痰湿质患者随机分为试验组和对照组(各200例)。对照组给予保妇康栓和重组干扰素α-2b阴道泡腾胶囊治疗,试验组在此基础上加用益气健脾祛湿解毒方。6个月后记录两组临床疗效、中医证候积分及不良反应。结果在1500例宫颈HPV感染患者中,痰湿质最为常见,且脾虚湿阻证与痰湿质相关性分析显示差异有统计学意义(P<0.05)。经过6个月的治疗,试验组的总有效率为97%(194/200),而对照组为90%(180/200)。两组治疗效果的差异具有统计学意义(P<0.05)。治疗组不良反应发生率低于对照组,无统计学意义(P>0.05)。结论益气健脾祛湿解毒法在痰湿质HPV感染患者中的应用效果显著,有效改善临床症状及不良反应。 展开更多
关键词 宫颈hpv感染 中医体质 益气健脾 祛湿解毒 痰湿质
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关注男性HPV感染相关问题
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作者 李明珠 赵昀 魏丽惠 《中国妇产科临床杂志》 北大核心 2026年第1期1-3,共3页
过去数十年,子宫颈癌的防控推动了高危人乳头瘤病毒(high-risk human papilloma virus,HR-HPV)研究的深入,除了女性外,男性也是HPV感染的重要宿主,其感染的流行病学特征及防控措施尚处于研究“洼地”。我国作为HPV感染高负担国家,男性HP... 过去数十年,子宫颈癌的防控推动了高危人乳头瘤病毒(high-risk human papilloma virus,HR-HPV)研究的深入,除了女性外,男性也是HPV感染的重要宿主,其感染的流行病学特征及防控措施尚处于研究“洼地”。我国作为HPV感染高负担国家,男性HPV相关疾病(如肛门癌、肛门生殖器疣)的发病率持续攀升。本文将从流行病学、疾病负担、传播风险、检测技术及疫苗防控五个维度,分析男性HPV感染的研究现状与预防,提出男性HPV感染需要关注的问题。 展开更多
关键词 高危人乳头瘤病毒 肛门癌 男性hpv感染
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改良宫颈冷刀锥切术联合抗人乳头瘤病毒生物蛋白敷料对HSIL伴高危型HPV感染患者疗效及免疫功能的影响
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作者 赵丹 张宇敏 +1 位作者 王东海 刘秋颖 《临床和实验医学杂志》 2026年第1期67-71,共5页
目的探究改良宫颈冷刀锥切术联合抗人乳头瘤病毒(HPV)生物蛋白敷料对高级别鳞状上皮内病变(HSIL)伴高危型HPV感染患者疗效及免疫功能的影响。方法前瞻性选择2022年1月至2024年3月保定市第二中心医院接诊的102例HSIL伴高危型HPV感染的患... 目的探究改良宫颈冷刀锥切术联合抗人乳头瘤病毒(HPV)生物蛋白敷料对高级别鳞状上皮内病变(HSIL)伴高危型HPV感染患者疗效及免疫功能的影响。方法前瞻性选择2022年1月至2024年3月保定市第二中心医院接诊的102例HSIL伴高危型HPV感染的患者,按照随机数字表法将其分为对照组和联合治疗组,每组各51例。对照组给予改良宫颈冷刀锥切术,联合治疗组在对照组基础上给予抗HPV生物蛋白敷料治疗。比较两组患者治疗6、9个月后的疗效,治疗前、治疗6个月后的Survivin、Ki-67水平、HPV病毒载量和免疫功能,治疗6、9个月后的阴道分泌物异常情况。结果治疗6、9个月后,联合治疗组治疗总有效率分别为62.75%、84.31%,均高于对照组(41.18%、66.67%),差异均有统计学意义(P<0.05)。治疗6个月后,两组患者的Survivin、Ki-67、HPV病毒载量均较治疗前降低,且联合治疗组的Survivin、Ki-67、HPV病毒载量分别为(49.65±5.43)%、(47.82±5.24)%、21.70±2.57,均明显低于对照组[(52.53±6.48)%、(53.69±5.68)%、28.11±3.21],差异均有统计学意义(P<0.05)。治疗6个月后,两组患者的CD3^(+)、CD4^(+)、CD4^(+)/CD8^(+)均较治疗前升高,且联合治疗组的CD3^(+)、CD4^(+)、CD4^(+)/CD8^(+)分别为(67.09±7.38)%、(36.22±4.39)%、1.58±0.26,均明显高于对照组[(64.13±7.51)%、(34.15±4.19)%、1.29±0.21],差异均有统计学意义(P<0.05)。治疗6、9个月后,联合治疗组阴道分泌物异常发生率分别为35.29%、13.73%,均显著低于对照组(58.82%、31.37%),差异均有统计学意义(P<0.05)。结论改良宫颈冷刀锥切术联合抗HPV生物蛋白敷料治疗HSIL伴高危型HPV感染患者,有助于提高治疗效果,降低Survivin、Ki-67和HPV病毒载量水平,增强免疫功能,改善阴道分泌物异常。 展开更多
关键词 改良宫颈冷刀锥切术 抗人乳头瘤病毒生物蛋白敷料 HSIL伴高危型hpv感染 免疫功能
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HPV感染不要怕,学会几招预防它
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作者 翟红莉 《家庭医药(快乐养生)》 2026年第2期64-64,共1页
在体检报告上看到“HPV阳性”的那一刻,很多人会感到惊慌失措,仿佛自己已经被宫颈癌“盯上”。事实上,HPV(人乳头瘤病毒)感染远比我们想象的更普遍,但它并非不可预防、不可战胜。今天,就带大家深入了解HPV,学会科学预防的有效方法。认识... 在体检报告上看到“HPV阳性”的那一刻,很多人会感到惊慌失措,仿佛自己已经被宫颈癌“盯上”。事实上,HPV(人乳头瘤病毒)感染远比我们想象的更普遍,但它并非不可预防、不可战胜。今天,就带大家深入了解HPV,学会科学预防的有效方法。认识HPV:并非“洪水猛兽”H P V是一个庞大的病毒“家族”,目前已发现超过200种亚型,根据致癌性可分为低危型和高危型。低危型HPV如6型、11型,主要引起生殖器疣等良性病变。高危型HPV如16型、18型,持续感染可能引发宫颈癌、肛门癌等恶性肿瘤,其中宫颈癌是与HPV感染关系最为密切的癌症。 展开更多
关键词 宫颈癌 高危型hpv hpv感染 低危型hpv
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中药熏洗方妇科外洗二号联合干扰素栓治疗湿热下注型HPV感染的临床疗效观察
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作者 陈晶晶 黄靖 朱剑红 《内蒙古中医药》 2026年第1期103-105,共3页
目的:研究中药熏洗方妇科外洗二号与干扰素栓剂在治疗湿热下注型HPV感染的临床疗效。方法:选取2023年1月—2025年1月纳入的湿热下注型HPV感染患者,根据随机数表法将它们分为观察组和对照组,每个组中有40例。对照组用干扰素栓剂阴道给药... 目的:研究中药熏洗方妇科外洗二号与干扰素栓剂在治疗湿热下注型HPV感染的临床疗效。方法:选取2023年1月—2025年1月纳入的湿热下注型HPV感染患者,根据随机数表法将它们分为观察组和对照组,每个组中有40例。对照组用干扰素栓剂阴道给药处理,观察组用妇科外洗二号熏洗联合干扰素栓剂阴道给药,用药3个疗程后,比较两组的临床疗效,HPV转化率和中医证候积分的改善情况。结果:观察组的总有效效率高于对照组(P<0.05);观察组的HPV转化率高于对照组(P<0.05);观察组中医证候积分的改善优于对照组(P<0.05)。结论:中药熏洗方妇科外洗二号与干扰素栓剂相结合在治疗湿热下注型HPV感染方面具有显著的功效,这可以提高HPV转阴率,改善临床症状,并且是安全有效的。 展开更多
关键词 中药熏洗方妇科外洗二号 干扰素栓 湿热下注型hpv感染 临床疗效
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扶正消积法内外兼治治疗HR-HPV持续感染
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作者 何顺利 李兴培 +1 位作者 马函琳 秦毅 《吉林中医药》 2026年第1期86-90,共5页
目的 观察扶正消积法内外兼治干预宫颈高危人乳头瘤病毒感染患者的临床疗效。方法 选择宫颈高危人乳头瘤病毒感染患者120例,随机分为治疗组与对照组,各60例。对照组每晚于患者后穹隆近宫颈口处放置重组人干扰素α2b凝胶,1个月连用10 d... 目的 观察扶正消积法内外兼治干预宫颈高危人乳头瘤病毒感染患者的临床疗效。方法 选择宫颈高危人乳头瘤病毒感染患者120例,随机分为治疗组与对照组,各60例。对照组每晚于患者后穹隆近宫颈口处放置重组人干扰素α2b凝胶,1个月连用10 d。治疗组予口服联合外用中药治疗方案,外用药物月经干净3 d开始上药,每周更换3次,1个月治疗10次为1个疗程,口服及外用药物月经期间均停药。结果 治疗组人乳头瘤病毒转阴率(85.0%,51/90)高于对照组(73.3%,44/60)(P>0.05)。治疗后,治疗组CD4+、CD8+细胞水平均高于治疗前,CD4+/CD8+低于治疗前(P<0.05);对照组CD4+、CD8+细胞水平均高于治疗前(P>0.05),CD4+/CD8+低于治疗前(P<0.05);治疗组CD4+细胞水平显著高于对照组(P<0.05);细胞因子检测分析表明,治疗组血清IL-6较治疗前显著降低,血清IL-10呈增强趋势。对照组血清IL-6与IL-10水平治疗前后差异无统计学意义(P>0.05);治疗组血清IL-6与IL-10水平与对照组比较,差异有统计学意义(P<0.05)。治疗组神疲乏力、带下异常等典型症状积分较治疗前均有显著改善,其下降幅度显著优于对照组(P<0.05)。结论 扶正消积汤内外兼治治疗宫颈高危型人乳头瘤病毒持续感染患者疗效显著,能增加患者CD4+、CD8+,降低CD4+/CD8+水平,降低IL-6、提升IL-10水平,改善患者中医证候。 展开更多
关键词 扶正消积 高危人乳头瘤病毒 宫颈癌 中医证候
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抗HPVβ-葡聚糖功能敷料与重组人干扰素α2β阴道泡腾片在宫颈锥切术后HR-HPV持续感染治疗中的效果对比观察
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作者 丁俊珊 徐巍 +4 位作者 李元元 蔡海瑜 宋芷霜 吴君梅 刘爱珍 《罕少疾病杂志》 2026年第2期97-100,共4页
目的探究在宫颈锥切术(CKC)术后高危型人乳头瘤病毒(HR-HPV)持续感染中采取抗人乳头瘤病毒(HPV)β-葡聚糖功能敷料与重组人干扰素α2β阴道泡腾片治疗的疗效。方法选取我院2022年7月至2024年3月术前因宫颈高级别鳞状上皮内病变(HSIL)合... 目的探究在宫颈锥切术(CKC)术后高危型人乳头瘤病毒(HR-HPV)持续感染中采取抗人乳头瘤病毒(HPV)β-葡聚糖功能敷料与重组人干扰素α2β阴道泡腾片治疗的疗效。方法选取我院2022年7月至2024年3月术前因宫颈高级别鳞状上皮内病变(HSIL)合并HR-HPV感染行CKC的120例患者,按照随机数字表法分为观察组A(40例,给予抗HPVβ-葡聚糖功能敷料)、观察组B(40例,给予重组人干扰素α2β阴道泡腾片)和对照组(40例,给予健康指导),治疗3个疗程后,对比三组药物治疗有效率、CKC对HR-HPV治疗有效率、宫颈液基细胞学(TCT)异常率,并分不同年龄组对比TCT异常率。结果观察组A、观察组B的HR-HPV持续感染治疗总有效率均高于对照组(P<0.05),但两观察组之间对比,差异无统计学意义(P>0.05);较对照组,观察组A、观察组B术后6个月TCT异常率均更低(P<0.05),但两观察组之间对比,差异无统计学意义(P>0.05),术后12个月,TCT异常率:观察组A<观察组B<对照组(P<0.05);术后12个月,TCT异常率:<30岁组<30~39岁组<40~49岁组(P<0.05)。结论抗HPVβ-葡聚糖功能敷料、重组人干扰素α2β阴道泡腾片在CKC术后HR-HPV持续感染治疗中的效果显著,且抗HPVβ-葡聚糖功能敷料更能控制病情进展,而随着年龄增长,CKC术后HR-HPV持续感染患者TCT异常率逐渐升高,治疗效果逐渐减弱。 展开更多
关键词 宫颈锥切术 hpvβ-葡聚糖功能敷料 重组人干扰素α2β阴道泡腾片 HR-hpv持续感染
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非HPV感染外阴高级别鳞状上皮内病变1例及文献复习
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作者 马兰芳 曹莉莉 汪俊涛 《贵州医药》 2026年第3期351-355,共5页
本文报告非HPV感染外阴高级别鳞状上皮内病变1例,并结合国内外相关文献对外阴高级别鳞状上皮内病变(VHSIL)的诊疗进行分析总结,旨在提高临床医师对VHSIL的认识及诊治水平。
关键词 外阴 高级别鳞状上皮内病变 hpv感染
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HPV疫苗,到底要不要打
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作者 俞弋 丛青 《家庭医生(月末版)》 2026年第1期18-19,共2页
“医生,今年我35岁了,还能打HPV疫苗吗?”“听说打了疫苗就不用做宫颈癌筛查了,是真的吗?”“医生,我家姑娘上初中,现在学校让接种宫颈癌疫苗,我不知道怎么选,应该打几价的?国产疫苗和进口疫苗有什么不一样?”
关键词 国产疫苗 35岁 初中 hpv疫苗 疫苗选择 宫颈癌筛查
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不同类型阴道炎和高危型HPV感染的关系研究
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作者 杨琳 《标记免疫分析与临床》 2026年第1期45-49,79,共6页
目的分析不同类型阴道炎和高危型人乳头瘤病毒(human papillomavirus,HPV)感染间的关系。方法选取我院2023年4月至2025年4月期间收治的HPV感染患者120例,依照HPV分型检测结果将其分为研究组(高危型HPV感染)39例、对照组(低危型HPV感染)8... 目的分析不同类型阴道炎和高危型人乳头瘤病毒(human papillomavirus,HPV)感染间的关系。方法选取我院2023年4月至2025年4月期间收治的HPV感染患者120例,依照HPV分型检测结果将其分为研究组(高危型HPV感染)39例、对照组(低危型HPV感染)81例,对比分析两组患者阴道炎检出率,检测记录两组患者阴道内环境指标,后基于阴道炎检出结果及阴道内环境指标,采用多因素Logistic回归法分析高危型HPV感染的相关危险因素。结果研究组细菌性阴道炎(bacterial vaginosis,BV)、外阴阴道假丝酵母菌病(vulvovaginal candidiasis,VVC)、混合性阴道炎(mixed vaginitis,MV)检出率高于对照组(P<0.05),两组患者滴虫性阴道炎(trichomonal vaginitis,TV)检出率无较大差异(P>0.05);研究组白细胞酯酶(leukocyte esterase,LE)、过氧化氢(hydrogen peroxide,H 2O 2)阳性率高于对照组(P<0.05);两组阴道清洁度、N-乙酰基-β-氨基半乳糖苷酶(β-N-acetylglucosaminidase,NAG)阳性率、唾液酸酶(sialidase,SNA)阳性率、pH>4.5占比等无较大差异(P>0.05);Logistic回归分析提示BV、VVC、MV是发生高危型HPV感染的独立危险因素(P<0.05)。结论阴道炎同高危型HPV感染关联性密切,合并阴道炎可能增加高危型HPV感染风险。 展开更多
关键词 阴道炎 高危型hpv感染 阴道内环境 阳性率 危险因素
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低危与高危型HPV感染患者宫颈KRT17和ATG12的表达及对病情进展的影响
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作者 郭艳蒲 牛会坤 许静 《河北医学》 2026年第1期137-144,共8页
目的:分析低危型、高危型人乳头瘤病毒(HPV)感染患者宫颈局部组织角蛋白17(KRT17)、自噬相关蛋白-12(ATG12)表达及对病情进展的影响。方法:选取2020年12月至2022年12月期间确诊宫颈低度鳞状上皮内病变(LSIL)患者203例,低危型HPV感染83例... 目的:分析低危型、高危型人乳头瘤病毒(HPV)感染患者宫颈局部组织角蛋白17(KRT17)、自噬相关蛋白-12(ATG12)表达及对病情进展的影响。方法:选取2020年12月至2022年12月期间确诊宫颈低度鳞状上皮内病变(LSIL)患者203例,低危型HPV感染83例,高危型HPV感染120例。所有病例随访2年,根据2年内病情进展情况分为进展组、未进展组。于初次确诊时采集宫颈刷取组织标本,采用实时荧光定量PCR法检测KRT17 mRNA与ATG12 mRNA表达。比较低危型、高危型HPV感染患者KRT17 mRNA、ATG12 mRNA水平,采用点二列相关性分析KRT17 mRNA、ATG12 mRNA水平与HPV感染类型的相关性;比较进展组与未进展组临床资料、KRT17 mRNA、ATG12 mRNA水平,采用多因素非条件Logistic回归分析不同HPV状态下LSIL患者病情进展的影响因素;采用logistic(OR)分析高危HPV感染患者中KRT17 mRNA、ATG12 mRNA对LSIL病情进展的影响是否存在相加交互作用及其统计学作用类型;采用受试者工作特征曲线(ROC)分析KRT17 mRNA、ATG12 mRNA及联合预测LSIL病情进展的效能。结果:高危型HPV感染组KRT17 mRNA表达量显著高于低危型组(1.35±0.42 vs 0.61±0.20,t=-20.666,P<0.001),ATG12 mRNA表达量显著降低(0.48±0.12 vs 0.80±0.24,t=11.911,P<0.001);点二列相关性分析显示,KRT17 mRNA与HPV感染类型呈正相关(r=0.862,P<0.001),ATG12 mRNA与HPV感染类型呈负相关(r=-0.799,P<0.001);进展组性伴侣人数>1人患者占比、经常服用避孕药患者占比、高危型HPV感染患者占比,KRT17 mRNA、ATG12 mRNA分别为15.38%、23.08%、97.44%、(1.35±0.30)、(0.33±0.11),与未进展组的3.05%、4.27%、27.44%、(0.98±0.31)、(0.68±0.22)比较差异有统计学意义(t/χ^(2)=9.580、12.870、61.008、6.740、-9.640,P=0.008、<0.001、<0.001、<0.001、<0.001);多因素非条件Logistic回归分析显示,校正了性伴侣人数、经常服用避孕药后,KRT17 mRNA、ATG12 mRNA是全部LSIL患者病情进展的独立相关影响因素,两者每升高1个单位,可分别将LSIL患者病情进展的风险提高1.404、0.517倍(P<0.05);按照HPV感染分型分层后,KRT17 mRNA、ATG12 mRNA仍是高危HPV感染LSIL患者病情进展的独立相关影响因素(P<0.05),但在低危型HPV感染患者中,KRT17 mRNA、ATG12 mRNA与LSIL患者病情进展无关(P>0.05);交互作用分析显示,校正了性伴侣人数、经常服用避孕药后,S=1.874,RERI=1.594,AP=0.361,提示KRT17 mRNA、ATG12 mRNA对病情进展的影响具有统计学上的相加协同交互作用;ROC分析显示,联合的AUC显著大于KRT17 mRNA、ATG12 mRNA(P<0.05)。结论:KRT17高表达与ATG12低表达协同促进高危型HPV感染LSIL的病情进展,联合检测二者可作为有效的风险预警工具,为LSIL的精准管理和干预提供新依据。 展开更多
关键词 高危型人乳头瘤病毒 KRT17 mRNA ATG12 mRNA 宫颈低度鳞状上皮内病变
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