diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
index b1cb82bec..3477311fe 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
@@ -633,7 +633,9 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
             string errorMassage = string.Empty;
 
-            var rowAnswerList = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && (x.MeasureData == string.Empty || x.MeasureData == null))
+            var rowAnswerList = await _readingTableAnswerRowInfoRepository.Where(x =>
+                x.SplitOrMergeType!= SplitOrMergeType.Merge &&x.SplitOrMergeType != SplitOrMergeType.Merged &&
+                x.VisitTaskId == inDto.VisitTaskId && (x.MeasureData == string.Empty || x.MeasureData == null))
                 .Select(x => new
                 {
                     x.ReadingQuestionTrial.OrderMark,
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
index 0b64664cd..73e2eac79 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
@@ -688,7 +688,9 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
             string errorMassage = string.Empty;
 
-            var rowAnswerList = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && (x.MeasureData == string.Empty || x.MeasureData == null))
+            var rowAnswerList = await _readingTableAnswerRowInfoRepository.Where(x =>
+              x.SplitOrMergeType != SplitOrMergeType.Merge && x.SplitOrMergeType != SplitOrMergeType.Merged &&
+            x.VisitTaskId == inDto.VisitTaskId && (x.MeasureData == string.Empty || x.MeasureData == null))
                 .Select(x => new
                 {
                     x.ReadingQuestionTrial.OrderMark,
@@ -697,7 +699,8 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 }).ToListAsync();
 
 
-            var unableEvaluateRowIds = await _readingTableQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId &&
+            var unableEvaluateRowIds = await _readingTableQuestionAnswerRepository.Where(x =>
+            x.VisitTaskId == inDto.VisitTaskId &&
             (x.Answer == TargetState.UnableEvaluate.GetEnumInt() || x.Answer == TargetState.Loss.GetEnumInt())
              && x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.State
             )
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoWithoutPETCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoWithoutPETCalculateService.cs
index c0371ea35..21e307d71 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoWithoutPETCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoWithoutPETCalculateService.cs
@@ -688,7 +688,9 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
             string errorMassage = string.Empty;
 
-            var rowAnswerList = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && (x.MeasureData == string.Empty || x.MeasureData == null))
+            var rowAnswerList = await _readingTableAnswerRowInfoRepository.Where(x =>
+               x.SplitOrMergeType != SplitOrMergeType.Merge && x.SplitOrMergeType != SplitOrMergeType.Merged &&
+            x.VisitTaskId == inDto.VisitTaskId && (x.MeasureData == string.Empty || x.MeasureData == null))
                 .Select(x => new
                 {
                     x.ReadingQuestionTrial.OrderMark,
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs
index 5217b83ae..b253cecea 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs
@@ -463,7 +463,9 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
             // 错误信息
             string errorMassage = string.Empty;
-            var rowAnswerList = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && (x.MeasureData == string.Empty || x.MeasureData == null))
+            var rowAnswerList = await _readingTableAnswerRowInfoRepository.Where(x =>
+               x.SplitOrMergeType != SplitOrMergeType.Merge && x.SplitOrMergeType != SplitOrMergeType.Merged &&
+            x.VisitTaskId == inDto.VisitTaskId && (x.MeasureData == string.Empty || x.MeasureData == null))
                 .Select(x => new
                 {
                     x.ReadingQuestionTrial.OrderMark,
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
index 8017ddb37..61bf65736 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
@@ -1225,7 +1225,9 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
             string errorMassage = string.Empty;
 
-            var rowAnswerList = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && x.ReadingQuestionTrial.LesionType != LesionType.BaselineLesions && (x.MeasureData == string.Empty || x.MeasureData == null))
+            var rowAnswerList = await _readingTableAnswerRowInfoRepository.Where(x =>
+               x.SplitOrMergeType != SplitOrMergeType.Merge && x.SplitOrMergeType != SplitOrMergeType.Merged &&
+            x.VisitTaskId == inDto.VisitTaskId && x.ReadingQuestionTrial.LesionType != LesionType.BaselineLesions && (x.MeasureData == string.Empty || x.MeasureData == null))
                 .Select(x => new
                 {
                     x.ReadingQuestionTrial.OrderMark,
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs
index ae4f7325f..68cba7d40 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs
@@ -465,7 +465,9 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
             // 错误信息
             string errorMassage = string.Empty;
-            var rowAnswerList = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && (x.MeasureData == string.Empty || x.MeasureData == null))
+            var rowAnswerList = await _readingTableAnswerRowInfoRepository.Where(x =>
+               x.SplitOrMergeType != SplitOrMergeType.Merge && x.SplitOrMergeType != SplitOrMergeType.Merged &&
+            x.VisitTaskId == inDto.VisitTaskId && (x.MeasureData == string.Empty || x.MeasureData == null))
                 .Select(x => new
                 {
                     x.ReadingQuestionTrial.OrderMark,
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1_BMCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1_BMCalculateService.cs
index 1789cbf3c..f23c0eafa 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1_BMCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1_BMCalculateService.cs
@@ -460,7 +460,9 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
             string errorMassage = string.Empty;
 
-            var rowAnswerList = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && (x.MeasureData == string.Empty || x.MeasureData == null))
+            var rowAnswerList = await _readingTableAnswerRowInfoRepository.Where(x =>
+               x.SplitOrMergeType != SplitOrMergeType.Merge && x.SplitOrMergeType != SplitOrMergeType.Merged &&
+            x.VisitTaskId == inDto.VisitTaskId && (x.MeasureData == string.Empty || x.MeasureData == null))
                 .Select(x => new
                 {
                     x.ReadingQuestionTrial.OrderMark,