国际妇产科学杂志 ›› 2013, Vol. 40 ›› Issue (2): 138-141.

• 综述 • 上一篇    下一篇

人乳头瘤病毒与宫颈病变的研究进展

季雯婷,狄 文   

  1. 200127 上海交通大学医学院附属仁济医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2013-04-15 发布日期:2013-04-15
  • 通讯作者: 狄 文

Human Papillomavirus in Cervical Diseases:An Update

JI Wen-ting,DI Wen   

  1. Department of Obstetrics and Gynecology,Renji Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200127,China
  • Received:1900-01-01 Revised:1900-01-01 Published:2013-04-15 Online:2013-04-15
  • Contact: DI Wen

摘要: 目前已有多项研究证实人乳头瘤病毒(HPV)感染是宫颈癌发生的必要条件,HPV通过其DNA编码的多种蛋白抑制肿瘤细胞的凋亡,实现肿瘤的免疫逃逸。但宫颈癌的发生发展同样受到多方面,如个人、家庭、地域等因素影响。由于HPV的自限性及人本身的自愈能力,宫颈病变是个长期、可逆的病理学变化过程,只有高危亚型HPV持续感染才会最终导致宫颈癌的发生。通过整理分析不同高低危亚型HPV感染和宫颈病变的相关文献,得出高危亚型HPV的持续感染有增加宫颈癌发生进展的风险,应将其广泛运用到宫颈癌的早期筛查中去。对已确诊宫颈癌或癌前病变的患者治疗后随访HPV,有利于治疗后风险评估和预后分析。

关键词: 人乳头瘤病毒, 宫颈疾病, 宫颈肿瘤, 宫颈上皮内瘤样病变

Abstract: Cervical cancer is one of the most common gynecologic malignant tumors. There are a number of studies have confirmed that human papillomavirus(HPV) infection is a necessary condition for cervical cancer,proteins which encoded by HPV leaded to inhibition of tumor cell apoptosis and tumor immune escaping. But the development of cervical cancer is also effected by the individual,family,geography and other factors. A lot of studies have pointed out that due to the self-healing capacity of the HPV self-limiting,cervical lesions are a long-term,reversible pathological changes in the process. Only high-risk subtypes of HPV persistent infection,will eventually lead to the occurrence of cervical lesions. This paper will introduce the literature of different HPV subtypes and cervical lesions. We obtained that persistent infection of high-risk HPV subtypes will increase the risk of cervical cancer and the HPV exam should be widely used in cervical cancer early screening. Following up HPV in cervical cancer or precancerous lesions of patients who received treatment is conducive to risk assessment and prognosis.

Key words: Human papillomavirus, Uterine cervical diseases, Uterine cervical neoplasms, Cervical intraepithelial neoplasia