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[目的]调查女性性服务工作者高危型HPV的感染率,并进行该人群的高危型HPV感染以及宫颈癌前病变的危险因素分析。[方法]对419名女性性服务工作者进行流行病学问卷调查,采集宫颈脱落细胞进行细胞学和HPV检测,醋酸染色后肉眼观察和阴道镜检查,如有异常行阴道镜下活检。[结果]398名女性性服务工作者完成了筛查,HPV阳性率为46.5%,TCT异常率达33.9%。经病理学证实CINⅠ30例,CINⅡ20例,CINⅢ10例,未发现宫颈癌。[结论]性服务人员是HPV感染以及宫颈癌前病变的高危人群,应及早筛查,减少宫颈癌的发生。
[Objective] To investigate the infection rate of high-risk HPV among female sex workers and to analyze the risk factors of high-risk HPV infection and precancerous lesions in this population. [Methods] A total of 419 female sex workers were surveyed by epidemiological survey. Cervical exfoliated cells were collected for cytology and HPV testing. Visual examination with acetic acid staining and colposcopy was performed. If colposcopy was abnormal, colposcopy biopsy was performed. [Results] A total of 398 female sex workers completed the screening. The positive rate of HPV was 46.5% and the rate of abnormal TCT was 33.9%. Pathologically confirmed CIN Ⅰ 30 cases, CIN Ⅱ 20 cases, CIN Ⅲ 10 cases, no cervical cancer was found. [Conclusion] The sexual service personnel are the high risk of HPV infection and precancerous lesions of cervix. They should be screened early to reduce the occurrence of cervical cancer.