接种HPV疫苗的妇女的查结果:来自丹麦试验23队列研究的数据
Mette Hartmann Nonboe1, George Maria Napolitano2, Caroline Kann3
1Centre for Health Research, Zealand University Hospital, Nykøbing Falster, Nykøbing Falster, Denmark.
PloS one
|June 25, 2024
概括
在23岁时进行查的丹麦HPV疫苗接种妇女显示HPV患病率高,但HPV16/18率低. 目前的查策略可能会导致细胞质正常,HPV阳性个体的过度随访.
科学领域:
- 妇科 妇科 妇科 妇科
- 在瘤学瘤学.
- 疫苗学 疫苗学 疫苗学
背景情况:
- 丹麦妇女在青春期接种HPV疫苗,现在有资格接受宫癌查.
- 评估查策略至关重要,因为它们可能会降低宫癌风险.
研究的目的:
- 分析23岁第一次宫癌查期间接种HPV疫苗的丹麦妇女的结果.
- 评估当前查协议在这个群体中的有效性.
主要方法:
- 一项对1994年出生的女性的观察性研究,在14岁时接种HPV疫苗,并在23岁时进行查.
- 用于诊断的宫细胞学,在残留物质上进行HPV检测,并与丹麦国家病理学注册表联系以获得组织学结果.
- 计算每个检测到的2级或更高 (CIN2+) 的宫内皮质瘤的随访率.
主要成果:
- 在6021名接受查的女性中,92%接种了HPV疫苗,12%的细胞质异常,35%的高风险HPV阳性.
- 在细胞学异常的HPV阳性女性中,每例CIN2+病例有4.4名女性接受了随访.
- 在细胞学正常的HPV阳性女性中,每例CIN2+病例中,有22.8名女性接受了随访,这表明随访负担很高.
结论:
- 在接种疫苗的年轻女性中,HPV的患病率仍然很高,尽管HPV16/18类型显著减少.
- 有相当数量的细胞质正常,HPV阳性女性需要随访,这表明目前的查可能过度负担.
- 在这个群体中,初级HPV查需要高效的分拣方法来管理后续需求.
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