分析河北省超声医学质量控制现状及各地区差异，发现问题，并提出解决方案。

2022年河北省共有402家设有超声医学专业的医疗机构参与质控网络平台的数据上报，上报数据包括《超声医学专业质量管理控制指标专家共识（2022年版）》中提到的12个超声质控指标：超声医师日均工作量、超声仪器质检率、住院超声检查48 h内完成率、超声危急值10 min内通报完成率、超声报告书写合格率、乳腺病变超声报告进行乳腺影像报告和数据系统（BI-RADS）分类率、超声报告阳性率、超声筛查中胎儿重大致死性畸形的检出率、超声诊断符合率、乳腺占位超声诊断准确率、颈动脉狭窄（≥50%）超声诊断符合率、超声介入相关主要并发症发生率，对全省地市数据进行对比分析。

（1）全省超声医师日均工作量低于全国均值水平（23.50人次vs 29.99人次），其中唐山市最高（30.11人次），邯郸市最低（17.98人次），8个市低于全省平均水平。（2）全省超声仪器质检率平均值接近全国均值水平（97.13% vs 97.14%），其中沧州市、衡水市、秦皇岛市均达100%，3个市低于全省平均水平，其中唐山市最低为87.04%。（3）全省住院超声检查48 h内完成率均值水平稍高于全国均值水平（93.22% vs 93.07%），衡水市最高为99.93%，张家口市最低为79.19%，3个市低于全省平均水平。（4）全省超声危急值10 min内通报完成率低于全国均值水平（96.87% vs 97.33%），其中衡水市、秦皇岛市最高为100%，沧州市最低为87.63%，4个市低于全省平均水平。（5）全省超声报告书写合格率平均值稍高于全国平均水平（99.37% vs 99.11%），其中秦皇岛市最高为99.91%，承德市最低为95.75%，4个市低于全省平均水平。（6）全省乳腺病变超声报告进行BI-RADS分类率低于全国均值水平（75.34% vs 83.95%），其中秦皇岛市最高为98.59%，石家庄市最低为57.03%，5个市低于全省平均水平。（7）全省各医疗机构超声阳性率稍高于全国均值水平（75.37% vs 74.42%），其中秦皇岛市阳性率最高为87.83%，邢台市阳性率最低为68.60%，6个市低于全省平均水平。（8）全省各医疗机构超声筛查中胎儿重大致死性畸形检出率稍低于全国均值水平（0.04% vs 0.06%），其中廊坊市阳性率最高为0.09%，邢台市阳性率最低为0.01%，5个市低于全省平均水平。（9）全省各医疗机构超声诊断符合率低于全国均值水平（86.75% vs 87.78%），其中承德市最高为94.40%，邯郸市最低为71.59%，4个市低于全省平均水平。（10）全省各医疗机构乳腺占位超声诊断准确率高于全国均值水平（85.96% vs 82.49%），其中承德市最高为91.98%，邯郸市最低为81.95%，5个市低于全省平均水平。（11）全省各医疗机构颈动脉狭窄（≥50%）超声诊断准确率高于全国均值水平（91.84% vs 83.76%），其中邯郸市最高为97.75%，廊坊市最低为85.39%，7个市低于全省平均水平。（12）全省各医疗机构超声介入相关主要并发症发生率低于全国均值水平（0.20% vs 0.41%），其中承德市最高为1.15%，秦皇岛市最低为0.03%，6个市高于全省平均水平。

通过质控网络平台数据发现河北省超声医学质量控制现状及各地区差异，及时发现了问题并解决问题，可进一步提升全省超声专业水平。

To analyze the current situation and regional differences of ultrasound medical quality control in Hebei Province by collecting and sorting out the quality control data of hospitals based on a quality control network platform, in order to find the problems and propose solutions.

In 2022, a total of 402 medical institutions with ultrasound medicine specialty in Hebei Province participated in reporting the data to a quality control network platform. The reported data included 12 ultrasound quality control indicators mentioned in the Expert Consensus on the Quality Management and Control Indicators of Ultrasound Medicine ( 2022 Edition): ultrasound physician per capita workload, ultrasonic instrument quality inspection rate, completion rate of ultrasound examination within 48 hours of admission, completion rate of ultrasound critical value report within 10 minutes, qualified rate of ultrasound report writing, classification rate of breast imaging reporting and data system (BI-RADS) for ultrasound report of breast lesions, positive rate of ultrasound report, detection rate of fetal major lethal malformations in ultrasound screening, coincidence rate of ultrasound diagnosis, accuracy of ultrasound diagnosis of breast lesions, coincidence rate of ultrasound diagnosis of carotid stenosis (≥50%), and incidence of major complications related to ultrasound intervention. These data were compared and analyzed.

The average number of daily ultrasound examinations in the whole province was lower than the national average level (23.50 vs 29.99). Among cities in the province, Tangshan had the highest average number of daily ultrasound examinations (30.11 person-times), Handan had the lowest number (17.98 person-times), and 8 cities had a number below the average. The average quality inspection rate of ultrasonic instruments in the whole province was close to the national average level (97.13% vs 97.14%). This rate reached 100% in Cangzhou, Hengshui, and Qinhuangdao, 3 cities had a rate lower than the average, and Tangshan City had the lowest rate at 87.04%. The average completion rate of ultrasound examination within 48 hours of admission in the whole province was slightly higher than the national average level (93.22 % vs 93.07 %). Hengshui had the highest completion rate at 99.93 %, Zhangjiakou had the lowest rate at 79.19%, and three cities had a rate lower than the average. The completion rate of ultrasound critical value report within 10 minutes in the whole province was lower than the national average level (96.87% vs 97.33%). Hengshui and Qinhuangdao had the highest completion rate at 100%, and Cangzhou had the lowest completion rate at 87.63%. The average qualified rate of ultrasound report writing in the whole province was slightly higher than the national average (99.37% vs 99.11%). Qinhuangdao had the highest rate at 99.91%, Chengde had the lowest rate at 95.75%, and 4 cities had a rate below the average. The classification rate of BI-RADS in the ultrasound report of breast lesions in the overall province was lower than the national average level (75.34 % vs 83.95%). Qinhuangdao had the highest classification rate at 98.59%, Shijiazhuang had the lowest rate at 57.03%, and 5 cities had a rate below the average. The positive rate of ultrasound in medical institutions in the province was slightly higher than the national average level (75.37% vs 74.42%). Qinhuangdao had the highest positive rate at 87.83%, Xingtai had the lowest rate at 68.60%, and 6 cities had a rate below the average. The detection rate of fetal major lethal malformations in ultrasound screening in medical institutions in the province was slightly lower than the national average level (0.04% vs 0.06%). Langfang had the highest positive rate at 0.09%, Xingtai had the lowest positive rate at 0.01%, and 5 cities had a rate below the average. The coincidence rate of ultrasound diagnosis in medical institutions in the province was lower than the national average level (86.75 % vs 87.78 %). Chengde had the highest coincidence rate at 94.40%, Handan had the lowest rate at 71.59%, and 4 cities had a rate lower than the average. The accuracy of ultrasound diagnosis of breast masses in medical institutions in the province was higher than the national average level (85.96% vs 82.49%). Chengde had the highest accuracy at 91.98%, Handan had the lowest accuracy at 81.95%, and 5 cities had an accuracy below the average. The accuracy of ultrasound diagnosis of carotid artery stenosis (≥50%) in medical institutions in the province was higher than the national average level (91.84% vs 83.76%). Handan had the highest accuracy at 97.75%, Langfang had the lowest accuracy at 85.39%, and 7 cities had an accuracy below the average. The incidence of major complications related to medical ultrasound intervention in the province was lower than the national average level (0.20% vs 0.41%). Chengde had the highest incidence at 1.15%, Qinhuangdao had the lowest incidence at 0.03%, and 6 cities had an incidence higher than the average.

Based on the data of a quality control network platform, we summarize the current situation and regional differences in ultrasonic medical quality control in Hebei Province, so that we can find problems in time and solve problems to further improve the professional level of ultrasound in the province.