国际妇产科学杂志 ›› 2020, Vol. 47 ›› Issue (1): 5-9.

• 综述 •    下一篇

阴道微环境与人乳头瘤病毒感染相关性的研究进展

王嫱,郭洁,宋殿荣   

  1. 300193 天津中医药大学研究生院(王嫱);天津中医药大学第二附属医院妇产科(郭洁,宋殿荣)
  • 收稿日期:2019-08-22 修回日期:2019-09-17 出版日期:2020-02-15 发布日期:2020-02-07
  • 通讯作者: 宋殿荣,E-mail:songdr58@126.com E-mail:guojie76@126.com
  • 基金资助:
    天津市卫生健康委员会天津市中医药管理局中医中西医结合科研课题(2019076)

Research Progress on Correlation between Vaginal Microenvironment and HPV Infection

WANG Qiang,GUO Jie,SONG Dian-rong   

  1. Graduate School,Tianjin University of TCM,Tianjin 300193,China(WANG Qiang);Department of Obstetrics and Gynecology,Second Affiliated Hospital of Tianjin University of TCM,Tianjin 300250,China(GUO Jie, SONG Dian-rong)
  • Received:2019-08-22 Revised:2019-09-17 Published:2020-02-15 Online:2020-02-07
  • Contact: SONG Dian-rong,E-mail:songdr58@126.com E-mail:guojie76@126.com
  • Supported by:
     

摘要: 人乳头瘤病毒(HPV)感染是唯一可以明确的导致宫颈癌的致病因子,但HPV感染并不等于已是宫颈癌或者宫颈癌前病变,而提示有一种向宫颈病变发展的可能性。因此,有效的筛查和预防是降低HPV感染及宫颈病变发生的有效措施。宫颈阴道部处于阴道微环境中,正常阴道微环境是由阴道解剖结构、微生物菌群、局部免疫及机体的内分泌调节功能组成,他们之间相互影响,始终处于动态平衡的状态。而当阴道菌群、pH值、局部免疫、雌孕激素水平发生变化,可导致机体对HPV易感性增加,清除力降低。鉴于阴道微环境与HPV感染关系十分密切,本文就HPV感染与阴道微环境相关性进行综述。

关键词: 阴道, 乳头状瘤病毒科, 微生物群, 宫颈上皮内瘤样病变

Abstract: HPV infection is the only clear pathogenic factor that can lead to cervical cancer, but HPV infection is not equal to cervical cancer or cervical precancerous lesions, which suggests a possibility of developing cervical lesions. Therefore, effective screening and prevention are effective measures to reduce the incidence of HPV infection and cervical lesions. The cervical vagina is in the vaginal microenvironment. The normal vaginal microenvironment is composed of vaginal anatomy, microbial flora, local immunity and endocrine regulation of the body. They interact with each other and are always in a state of dynamic balance. When the vaginal flora, pH value, local immunity, and estrogen and progesterone levels change, the body′s susceptibility to HPV increases, and the clearance is reduced. In view of the close relationship between vaginal microenvironment and HPV infection, this article reviews the literature on the relationship between HPV infection and vaginal microenvironment.

Key words: Vagina, Papillomaviridae, Microbiota, Cervical intraepithelial neoplasia

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