基因芯片检测人乳头瘤病毒基因分型在宫颈病变筛查中的临床应用价值

目的旨在分析基因芯片方法检测人乳头瘤病毒基因分型在宫颈病变筛查中的临床应用价值。方法收集2015年9月至2015年12月昆明医科大学第一附属医院妇科门诊进行人乳头瘤病毒基因分型的372例标本,包括22种基因型(含高危18种、低危4种),同时进行薄层液基细胞学检查。结果 223例检出人乳头瘤病毒基因,检出率为59.94%,检出高危型194例(52.15%),低危型29例(7.80%);薄层液基细胞学筛查结果异常率(包括非典型增生、低度病变和高度病变)为44.08%,非典型增生为22.88%,低度病变检出率为18.01%,高度病变检出率为5.10%。在宫颈病变表现出炎症以上病变时,多重感染与宫颈病变程度具有显著相关性(P0.05)。结论人乳头瘤病毒基因分型检测对宫颈病变筛查有较高临床应用,且与细胞学改变具有良好相关性,进行人乳头瘤病毒基因分型检测有利于宫颈病变的早期筛查。

Clinical application value of gene chip for detecting HPV DNA genotype in cervical lesions screening

Objective To investigate the clinical application value of gene chip method for detecting human papilloma virus (HPV) DNA genotype .Methods A total of 372 samples of HPV genotype in the gynecological outpatients department of our hos‐pital from September to December 2015 were collected ,including 22 kinds of genotype(18 types of high risk ,4 types of low risk) , meanwhile all samples were performed thinprep cytologic test(TCT) .Results In 372 samples ,223 cases of HPV gene were detec‐ted with the detection rate of 59 .94% ,194 cases(52 .15% ) of high risk type and 194 cases(7 .80% ) of low risk type were detected ;the abnormal rate of TCT was 44 .08% (including atypical hyperplasia ,low‐grade and high‐grade lesion) ,the atypical hyperplasia was 22 .88% ,the detection rate of high‐grade lesion was 5 .10% and which of low‐grade lesion was 18 .01% .In the cervical lesions showing the lesion beyond inflammation ,multiple infection and cervical lesions had significant correlation (P<0 .05) .Conclusion HPV genotyping has higher clinical application in the cervical lesion screening ,moreover which has good correlation with the cyto‐logical change .Conducting HPV genotyping is beneficial to the early screening of cervical lesions .