了解河南省盆底超声检查的开展情况，探讨开展盆底超声检查中存在的问题。

河南省超声医学质量控制中心于2021年4月下发《关于对河南省盆底超声技术开展情况摸底调查的通知》，调查对象为河南省内各级各类医院的超声科及功能科，调查时间为2021年4月1日至7月31日，调查内容分为问卷调查和盆底病例影像资料2部分。问卷调查内容包括是否已经开展盆底超声检查、医院级别、未开展原因、参与盆底超声检查医师人数及职称、每月检查患者例数等；盆底病例影像资料部分为每家医院提交3份病例，每份病例包括12幅盆底图像及视频，河南省超声医学质量控制中心参考《AIUM/IUGA Practice Parameter for the Performance of Urogynecological Ultrasound Examinations》及《河南省盆底超声质量控制流程》对提交病例进行质量控制，内容包括提交病例是否完整、图像评分等。采用χ²检验比较不同级别医院间盆底超声检查开展率、图像提交率、提交资料完整率及12幅图像间完整率的差异，采用单因素方差分析12幅图像间评分的差异。

本次调查共收到河南省110家医院的调查问卷，其中82家（74.5%，82/110）医院已经开展实时三维盆底超声检查，其中三级甲等医院开展率最高（94.94%），差异具有统计学意义（χ²=18.84，P＜0.001），28家（25.5%，28/110）医院尚未开展，未开展的原因有技术不够成熟、无合适超声检查仪器、临床无相关需求等；参与检查医师人数多为10人以下，职称多为主治医师，每月检查患者例数主要集中在1~50例；82家已开展盆底超声检查医院中，54家（65.85%，54/82）提交病例，三级甲等医院提交率最高（81.08%），与其他级别医院比较差异具有统计学意义（χ²=10.19，P=0.015），其中37家（68.52%，37/54）提交资料完整。其中静息状态正中矢状面二维图像（有测值）、最大Valsalva状态正中矢状面二维图像（有测值）的图像提交完整率为100%，与其余10个切面完整率比较，差异具有统计学意义（P＜0.05），其余10幅图像均存在缺图情况，相互间完整率比较差异均无统计学意义（P均＞0.05）；评分大于8分的图像与小于8分的图像间差异具有统计学意义（P＜0.05）。

盆底超声检查在河南省各级医院已得到初步开展，但仍存在技术推广不够、病例资料不完整、操作不规范、图像不标准等相关医疗质量问题。

To investigate the current status of pelvic floor ultrasound examination in Henan Province, and to explore the existing problems in pelvic floor ultrasound examination.

A "Notice on the investigation of pelvic floor ultrasound technology in Henan Province" was issued by Henan Province Ultrasound Medical Quality Control Center to ultrasound and related departments of various types at various levels in Henan Province. The investigation was performed from April 1, 2021 to July 31, 2021 and included questionnaire and image data submission. The questionnaire included whether pelvic floor ultrasound examination has been carried out, hospital level, reasons for not carrying out, number and professional title of doctors participating in the examination, number of patients monthly, etc. The imaging data involved three cases submitted by each hospital, with each case including 12 images and videos. Henan Province Ultrasound Medical Quality Control Center evaluated the quality of cases with reference to the AIUM/IUGA Practice Parameter for the Performance of Urogynecological Ultrasound Examinations and Pelvic Floor Ultrasonic Quality Control Process in Henan Province, including completeness of submitted cases, image score, etc. The χ²-test was used to compare the difference in the implementation rate of pelvic floor ultrasound examination, image submission rate, and completeness rate of submitted data and 12 images between different levels of hospitals, and one-way ANOVA was used to compare the difference among 12 images.

The investigation involved a total of 110 hospitals in Henan Province, of which 82 (74.5%, 82/110) had carried out real-time three-dimensional pelvic floor ultrasound examination. The highest rate was found in tertiary grade A hospitals (94.94%), which was significantly higher than those of other hospitals (χ²=18.84, P＜0.001). Twenty-eight (25.5%, 28/110) hospitals have yet to carry out, and the reasons for not carrying out were no mature technology, no suitable ultrasound examination instruments, and no relevant clinical needs. The number of doctors participating in the examination was less than 10, professional title was mostly attending doctor, and the number of patients was mostly 1-50 cases monthly. Of the 82 hospitals that have carried out the examination, 54 (65.85%, 54/82) submitted the cases. The highest submission rate occurred in tertiary grade A hospitals (81.08%), which was significantly higher than those of other hospitals (χ²=10.19, P=0.015). Of the 54 hospitals that submitted the cases, 38 (70.37%) submitted complete information. The image completion rates of resting-state middle sagittal image (measured) and maximum Valsalva state middle sagittal image (measured) were both 100%, which were significantly higher (P＜0.05) than those of the remaining 10 images and videos that were all incomplete. The image completion rates did not differ between any two of the 10 images (P＞0.05). There was a significant difference in the image completion rate between images scored greater than and less than 8 (P＜0.05).

Pelvic floor ultrasound examination has been preliminarily carried out in hospitals of all levels in Henan Province, but there are still some problems, such as insufficient technical promotion, incomplete case data, non-standard operation, and non-standard image.