972022年第9卷第11期实用妇科内分泌电子杂志•诊断技术•包头地区除HPV16、18型外其他高危型HPV感染分流阴道镜的必要性研究韩明明▲，赵莉萍，吕芳，赵俊玉（包钢集团第三职工医院妇产科，内蒙古包头014010）【摘要】目的探究包头地区除人乳头瘤病毒（HPV）16、18型外其他高危型HPV感染分流阴道镜的必要性。方法选取400例HPV感染患者，按照年龄段及各亚型分组，统计各年龄段及各亚型的活检阳性率。结果50～59岁及60～69岁患者的阳性率较高，但20～29岁的阳性率高于30～39岁及40～49岁。51、52、56、58亚型HPV的占比高于其他亚型。31、33、45、58、82亚型HPV感染者的活检阳性率高于其他亚型。结论年龄、高危型HPV感染与宫颈病变有着密切关系；包头地区除HPV16、18型外以51、52、56、58亚型较常见；而HPV31、33、45、58、82亚型致病性可能高于除16、18外的其他亚型。在临床工作中可针对上述群体展开重点筛查，避免过度检查，节约成本，减轻患者负担。【关键词】包头地区；高危型HPV感染；分流阴道镜Studyonthenecessityofshuntingcolposcopyforotherhigh-riskHPVinfectionsexceptHPV16and18inBaotouareaHanMingming,ZhaoLiping,LvFang,ZhaoJunyu(DepartmentofObstetricsandGynecology,BaotouSteelGroupThirdStaffHospital,Baotou014010,China)【Abstract】ObjectiveToinvestigatethenecessityofshuntingcolposcopyforotherhigh-riskHPVinfectionsexcepthumanpapillomavirus(HPV)16and18inBaotouarea.MethodsAtotalof400patientswithHPVinfectionwereselectedanddividedintogroupsaccordingtoageandsubtype，andthebiopsypositiverateofeachageandsubtypewascounted.ResultsThepositiverateofpatientsaged50～59and60～69yearswashigher,butthepositiverateofpatientsaged20～29yearswashigherthanthatofpatientsaged30～39and40～49years.TheproportionofHPVsubtypes51,52,56and58washigherthanthatofothersubtypes.ThebiopsypositiverateofHPVsubtypes31,33,45,58,82washigherthanthatofothersubtypes.ConclusionAgeandhigh-riskHPVinfectionarecloselyrelatedtocervicallesions.HPVsubtypes51,52,56and58weremorecommoninBaotouareaexceptforHPV16and18.ThepathogenicityofHPV31,33,45,58and82maybehigherthanthatofothersubtypesexcept16and18.Inclinicalwork,keyscreeningcanbecarriedoutfortheabovegroupstoavoidexcessiveexamination,savecosts...
