调查安徽省腹部超声切面存图及报告质量现状，发现问题并提出改进策略。

2025年1月至3月安徽省共有183家设有超声医学专业的医疗机构在严格保护患者隐私的前提下，参与了腹部超声检查质量控制网络平台的数据上报。每家医院上传6份腹部超声报告电子版及对应存图（其中肝胆胰脾检查3份，泌尿系及肾上腺检查3份）。依据国家超声医学质量控制中心编写的2022版《超声医学质量控制管理规范》，对所有报告进行分析，统计正常报告存图合格率、病变存图合格率、综合切面漏存率、体标标注率、报告书写合格率。采用多组率χ²检验分析肝、胆、胰、脾4组及泌尿系及肾上腺（肾、输尿管、膀胱、前列腺、肾上腺）5组的正常报告存图合格率及病变存图合格率的差异，两两比较时，采用Bonferroni校正。采用四格表χ²检验分析肝胆胰脾与泌尿系及肾上腺2组的体标标注率、报告书写合格率的差异。

肝胆胰脾病例共549例，肝、胆、胰、脾正常报告存图合格率分别为50.78%、73.76%、90.07%、91.49%，肝、胆、胰、脾病变存图合格率分别为54.83%、42.71%、66.67%、52.14%，肝胆胰脾综合切面漏存率为34.69%，其中肝胆切面漏存率较高（44.62%），体标标注率为5.46%（30/549），报告书写合格率为73.22%（402/549）。泌尿系及肾上腺病例共580例，肾、输尿管、膀胱、前列腺、肾上腺正常报告存图合格率分别为89.86%、26.36%、67.39%、68.48%、75.11%，肾、输尿管、膀胱、前列腺、肾上腺病变存图合格率分别为53.14%、40.01%、55.47%、64.26%、65.65%，泌尿系及肾上腺综合切面漏存率为39.43%，其中输尿管切面漏存率较高（66.72%），体标标注率为8.79%（51/580），报告书写合格率为72.41%（420/580）。肝和胆正常报告存图合格率低于胰腺和脾（P<0.001）。输尿管正常报告存图合格率低于肾、膀胱、前列腺和肾上腺（P<0.001）。

安徽省腹部超声肝胆和输尿管正常报告切面漏存率较高、报告书写合格率偏低，需加强超声质量控制培训，提升超声诊断质量。

To investigate the quality of abdominal ultrasound sectional images and reports in Anhui Province, identify existing problems, and propose improvement strategies.

In the first quarter of 2025, a total of 183 medical institutions in Anhui Province with ultrasound medicine specialties participated in data reporting through the abdominal ultrasound examination quality control network platform, with strict adherence to patient privacy protection protocols. Each hospital submitted six electronic copies of abdominal ultrasound reports along with corresponding stored images (including 3 hepatobiliary-pancreatic-spleen examinations and 3 urinary system and adrenal gland examinations). Based on the 2022 edition of the Ultrasound Medicine Quality Control Management Standards compiled by the National Ultrasound Medicine Quality Control Center, all reports were analyzed. The following quality metrics were statistically analyzed: the qualified rate of image storage in normal and pathological reports, the omission rate of comprehensive anatomical sections, the body marker rate, and the compliance rate of report documentation. Differences in image storage qualification rates between normal and pathological reports were analyzed using the chi-square test for multiple proportions, and comparisons were performed across four organ groups (liver, gallbladder, pancreas, and spleen) and five organ groups (urinary system and adrenal glands). For pairwise comparisons, the Bonferroni correction was applied. The chi-square test for 2×2 tables was employed to analyze the differences in body mark rates and report documentation compliance rates between the two groups (hepatobiliary-pancreatic-splenic vs urinary-adrenal).

Among 549 hepatobiliary, pancreatic, and splenic cases, the qualified rates of normal report image storage for the liver, gallbladder, pancreas, and spleen were 50.78%, 73.76%, 90.07%, and 91.49%, respectively. The qualified rates of image storage for pathological findings in the liver, gallbladder, pancreas, and spleen were 54.83%, 42.71%, 66.67%, and 52.14%, respectively. The overall missed image storage rate for hepatobiliary-pancreatic-splenic sections was 34.69%, with a notably higher proportion of missed hepatobiliary sections (44.62%). The body marker rate was 5.46% (30/549). The report documentation compliance rate was 73.22% (402/549). Among 580 cases of urinary tract and adrenal gland examinations, the qualified rates of standard image documentation for normal findings were as follows: kidney 89.86%, ureter 26.36%, bladder 67.39%, prostate 68.48%, and adrenal gland 75.11%. The adequate documentation rates for pathological findings were: kidney 53.14%, ureter 40.01%, bladder 55.47%, prostate 64.26%, and adrenal gland 65.65%. The overall missed capture rate for urinary-adrenal anatomical sections was 39.43%, with ureteral sections accounting for the highest proportion (66.72%). The body marker rate was 8.79% (51/580). Report compliance rate was 72.41% (420/580). The qualified rate of normal report image storage for the liver and biliary system was lower than that for the pancreas and spleen (P<0.001). The qualified rate of normal report image storage for the ureters was lower than that for the kidneys, bladder, prostate, and adrenal glands (P<0.001).

The abdominal ultrasound reports in Anhui Province show a relatively high rate of missing standard liver, biliary system, and ureter scan planes, along with a suboptimal report-writing compliance rate. It is necessary to strengthen quality control training in ultrasonography to improve the diagnostic quality of ultrasound examinations.