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采用分子生物学多聚酶链反应(PCR)方法,对女性下生殖道疣状赘生物616例妇女(团块型307例,丘疹型309例),进行人乳头瘤状病毒HPV_(6,11,16,18,33,35)DNA等48个亚型检测,并与以免疫组织化学ABC方法检测HPV-Ag(衣壳抗原)及电镜、光镜、阴道镜等方法进行比较。结果:PCR方法的灵敏度和特异性最强,团块型阳性率97.90%,丘疹型1.10%,两型共存者均团块型阳性而丘疹型阴型。团块型HPV-Ag阳性率53.55%,诊断性空孢细胞70.49%、病毒颗粒5.88%;丘疹型无HPV-Ag、无HPV颗粒、无诊断性空泡细胞。提示:团块型为HPVs感染的尖锐湿疣,丘疹型为假性湿疣。
A total of 616 women with genital warty neoplasia (307 in mass and 309 in papulosis) were genotyped by molecular biological polymerase chain reaction (PCR) method. Human papillomavirus HPV6 (6,11,16 , 18,33,35) DNA were detected in 48 subtypes, and compared with immunohistochemical ABC method for detection of HPV-Ag (capsid antigen) and electron microscopy, light microscopy, colposcopy and other methods. Results: The sensitivity and specificity of PCR were the highest. The positive rate of mass was 97.90% and the papular type was 1.10%. Both types of coexisting were positive for lumps and papain - type. The positive rate of HPV-Ag was 53.55%, the diagnostic DNA was 70.49%, and the percentage of virus particles was 5.88%. The papulosis was HPV-Ag-free, with no HPV particles and no diagnostic vacuolar cells. Tip: The agglomerate is genital warts infected with HPVs and the papular type is pseudocyst.