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宫颈癌病因复杂,多数研究者认为是多因素综合作用的结果。本文通过病例-对照研究,应用分子及血清流行病学方法,探讨引起宫颈癌的危险因素。应用HPV6/11、HPV16/18探针,通过斑点分子杂交技术,检测宫颈癌和对照宫颈组织DNA中的感染,结果病例组和对照组HPV6/11阳性率分别为24.6%、27.5%,差别无显著性,HPy16/18阳性率分别为45.6%、9.8%,差别有显著性;应用PCR技术检测两组宫颈组织DNA中HSV-2感染,结果病例组和对照组阳性率分别为28.1%、7.8%,Logistic回归平衡年龄因素后差别无显著性;应用ELISA方法检测血清中HCMV抗体阳性率,结果病例组和对照组IgM阳性率分别为12.3%、5.9%,差别无显著性。用多因素Logistic回归平衡各因素间的作用,最后分析结果表明,文化程度、产次、HPV10/18感染与宫颈癌的发生有关,其OR值分别为0.57、1.85、31.96。
The etiology of cervical cancer is complex, most researchers think is the result of multi-factor combination. In this paper, case-control studies, molecular and serum epidemiological methods to explore the risk of cervical cancer risk factors. HPV6 / 11 and HPV16 / 18 probes were used to detect HPV DNA in cervical cancer and control cervical tissue by dot blot hybridization. The positive rates of HPV6 / 11 in case group and control group were 24.6% and 27.5 %, The difference was not significant, the positive rates of HPy16 / 18 were 45.6% and 9.8% respectively, the difference was significant. PCR was used to detect the HSV-2 infection in the cervical tissue DNA of both groups. Results The cases and control groups The positive rates were 28.1% and 7.8%, respectively. There was no significant difference between the age-adjusted logistic regression analysis. The positive rate of serum HCMV antibody was detected by ELISA. The positive rates of IgM in the cases and controls were 12.3% %, 5.9%, the difference was not significant. Multivariate Logistic regression was used to balance the effects of various factors. The final analysis showed that the educational level, parity, HPV10 / 18 infection were associated with the occurrence of cervical cancer, the OR values were 0.57, 1.85, 31.96 .