邓 瑛,陈志梅,陈 彬.人乳头瘤病毒经产道母婴垂直传播的分析[J].中国肿瘤,2014,23(11):913-916.
人乳头瘤病毒经产道母婴垂直传播的分析
An Analysis of Vertical Transmission of Human Papillomavirus through the Birth Canal
投稿时间:2014-07-30  
DOI:10.11735/j.issn.1004-0242.2014.11.A007
中文关键词:  人乳头瘤病毒  垂直传播  妊娠妇女
英文关键词:human papillomavirus  vertical transmission  woman
基金项目:深圳市科技计划项目(201103196)
作者单位
邓 瑛 南方医科大学附属深圳市妇幼保健院 
陈志梅 南方医科大学附属深圳市妇幼保健院 
陈 彬 南方医科大学附属深圳市妇幼保健院 
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中文摘要:
      摘 要:[目的] 分析人乳头瘤病毒经产道母婴垂直传播的特点。[方法] 应用PCR体外扩增和DNA反向斑点杂交相结合的DNA芯片技术,对经产道分娩产妇及其新生儿117对(自然分娩组)和剖宫产产妇及其新生儿74对(剖宫产组)母体生殖道、新生儿口腔分泌物进行HPV定性及分型检测。[结果] 母体生殖道HPV检出率为14.66%(28/191);自然分娩组和剖宫产组的新生婴儿口腔HPV检出率分别为3.42%和0.00%,但差异无统计学意义(P>0.05)。母体生殖道HPV阳性者新生婴儿口腔HPV检出率为22.22%(4/18),显著性高于母体生殖道HPV阴性组的检出率(0,0/99)(P<0.05)。新生婴儿口腔HPV亚型与其母体生殖道的亚型一致。[结论] 妊娠妇女生殖道HPV感染较为常见,HPV可以经产道垂直传播,对母体及新生儿的影响值得进一步研究。
英文摘要:
      Abstract:[Purpose] To investigate the features of human papillomavirus vertical transmission through the birth canal. [Methods] A total of 117 pairs of natural delivery mothers and their newborns (natural childbirth group) and 74 pairs of cesarean mothers and their newborns(C-S group) were recruited. HPV were examined and genotyped by polymerase chain reaction(PCR) and reversed dot blot hybridization for secretion from maternal genital tract and newborn oral.[Results] HPV detection rate of maternal genital tract was 14.66%(28/191). Newborn oral HPV detection rate in natural childbirth group and C-S group was 3.42% and 0.00% respectively,with no statistic difference( P>0.05). Oral HPV detection rate of newborns in genital tract HPV-positive mothers was 22.22%(4/18),which was significantly higher than that in genital tract HPV-negative mothers(0,0/99)(P<0.05). Genotyping showed newborn oral HPV subtypes were coincidence with their mother’s genital tract subtypes. [Conclusion] Pregnant women genital HPV infection is common. HPV can be vertical transmitted through the birth canal. HPV impact on mother and newborn deserves further study.
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