摘要:
目的:探讨山东地区男性人乳头状瘤病毒(HPV)不同亚型感染的分布情况,为HPV的防治工作提供参考依据.方法:本文回顾性分析2012年1月至2016年8月送往济南金域医学检验中心的2830例HPV感染疑似患者疣体或皮损处分泌物拭子的不同HPV感染型基因芯片检测结果.结果:1621例HPV检测阳性,阳性率为57.3%.HPV感染的高峰年龄为21~50岁,占79.3%.低危亚型所占比率前3位依次为HPV6(40.2%),HPV11 (33.1%),HPV42(11.0%);高危亚型所占比率前5位依次为HPV16(14.3%),HPV52(12.3%),HPV51(8.7%),HPV58 (8.3%),HPV59(7.9%).在1621例阳性患者中,单一亚型感染786例,占48.5%;二重及以上感染(多重感染)835例,占比51.5%,并且多重感染的各HPV亚型感染率均明显高于单一感染.结论:山东地区男性HPV感染低危亚型主要以6型、11型为主,高危亚型主要以16型、52型、51型、58型、59型为主.多重感染的HPV亚型分布情况较单一感染更为复杂,更应受到HPV感染防治工作重视.%Objective:To investigate the different subtypes of human papillomavirus(HPV) infection in male patients in Shandong,and to provide evidence for the prevention and treatment of HPV infection.Methods:From January 2012 to August 2016,a total of 2830 men suspected of HPV infection were collected by Jinan KingMed Diagnostics,and tested by a HPV genotyping chip,which could detect 23 HPV types.Results:A total of 1621 cases were HPV-positive,with the positive rate of 57.3%.The peak age of HPV infection was between 21 and 50 years old,accounting for 79.3% of all patients.HPV6(40.2%),HPVll(33.1%) and HPV42(11.0%) were the top three common low-risk HPV subtypes;HPV16 (14.3%),HPV52 (12.3%),HPV51 (8.7%),HPV58 (8.3%) and HPV59 (7.9%) were the top five common high-risk HPV subtypes.Among 1621 HPV-positive patients,786 cases(48.5%) had single subtype infection,and the other 835 cases(51.5%) had double or more subtype infections(multiple HPV infection).The positive rate of each HPV subtype in multiple infections was significantly higher than that in the single infection.Conclusions:In male HPV-positive patients,the main low-risk HPV subtypes are HPV 6 and HPV 11,and the main high-risk HPV subtypes are HPV 16,HPV 52,HPV 51,HPV 58 and HPV 59.Multiple HPV infections are more complex than single HPV infection.Thus,more attention should be paid to multiple HPV infection.