Abstract:Objective To explore and analyze the correlation between female genital HPV infection,cervical lesions and vaginal microecology,and to provide a new basis for the prevention and treatment of cervical lesions. Methods Data of 8067 female patients with TCT and HPV testing were retrospectively analyzed,and the correlation between genital HPV infection,cervical lesions and vaginal microecology in women in Jiangmen area was analyzed. Results Among the 8067 women included in the study,3267 cases had little or no vaginal microecological lactobacillus,accounting for 40.50%,1323 cases had abnormal cleanliness,accounting for 16.40%,2237 cases had bacterial vaginosis,accounting for 27.73%,1579 cases had candida infection,accounting for 19.70%,223 cases had trichomonas infection,accounting for 2.76%.Rank correlation test showed that HPV infection and cervical lesions were closely correlated with vaginal microecology(Lactobacillus,cleanliness,bacterial vaginosis,trichomonas infection)(P<0.05),but had no significant correlation with vaginal candida infection(P>0.05). Conclusion Female vaginal microecology is closely related to HPV infection and cervical lesions.Imbalance of vaginal microecology,reduction of dominant bacteria,imbalance of bacterial flora,pathogen invasion and abnormal cleanliness increase the risk of HPV infection and cervical lesions.Therefore,prevention of HPV infection and cervical lesions can be started from improving female vaginal microecology.
[1] 张娜,肖雁冰.阴道微生态与宫颈HPV感染的研究进展[J].局解手术学杂志,2023,32(02):174-178. [2] 伊欣,张蕾,陈汶,等.高危型人乳头瘤病毒与女性下生殖道感染联合检测专家共识[J].中国实用妇科与产科杂志,2022,38(05):524-528. [3] 王巧亚,沈彩糯,洪威阳,等.阴道微生态改善对宫颈高危型人乳头瘤病毒感染转阴率的影响[J].现代实用医学,2022,34(10):1347-1348+1369. [4] 何漫. 阴道微生态、人乳头状瘤病毒感染与宫颈上皮内瘤变的相关性研究[J].中国卫生检验杂志,2021,31(17):2174-2176. [5] Zheng JJ,Song JH,Yu CX,et al.Difference in vaginal microecology,local immunity and HPV infection among childbearing-age women with different degrees of cervical lesions in Inner Mongolia[J].BMC Women's Health,2019,19(1):109. [6] Wc A,Fei XB,Lg A,et al.The Correlation between the Determination of Vaginal Micro-Ecological Composition and the Outcome of HPV Infection by High-Throughput Metagene Sequencing Information Technology on the Illumina Platform-ScienceDirect[J].Journal of Infection and Public Health,2020,13(12):1961-1966. [7] Wu X,Wang L,Xing Z.Impact of HPV infection on vaginal microecology and maternal and neonatal outcomes[J].Zhong Nan Da Xue Xue Bao Yi Xue Ban.2021,28;46(5):497-502. [8] 张淑艳,高蕾,李晓静,等.690例患者高危型人乳头瘤病毒感染与阴道微生态的相关性研究[J].标记免疫分析与临床,2022,29(05):815-818+840. [9] 刘萍. 阴道上皮内瘤变与人乳头瘤病毒感染、液基细胞学、宫颈病变、阴道微生态的关系研究[J].现代医学与健康研究电子杂志,2022,6(12):35-39. [10] 陆乐,曹维维,丁亚沙,等.阴道微生态及酶改变与高危型人乳头瘤病毒感染及宫颈上皮内瘤变发生风险的相关性研究[J].中国性科学,2022,31(08):94-98. [11] 智艳芳,刘慧,张婷,等.阴道微生态失衡与HR-HPV感染及宫颈病变的关系[J].中国妇幼健康研究,2022,33(09):90-96. [12] 李焕勇,应玲娣,孙爱华.高危型人乳头瘤病毒感染与宫颈病变及阴道微生态异常的关系[J].中国艾滋病性病,2021,27(07):767-769. [13] 王莹. 阴道微生态与人乳头瘤病毒感染及宫颈病变的关系分析[J].中国现代药物应用,2022,16(21):23-26. [14] 郭灵,孙潇潇,成佳景.阴道微生态与高危型HPV阳性子宫颈鳞状上皮内病变的相关性及临床预测模型建立[J].同济大学学报(医学版),2022,43(02):202-208. [15] 杨颖,韦玉姣.阴道微生态与高危型HPV感染及宫颈病变的相关性研究进展[J].右江医学,2021,49(12):952-956.