diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index 3d41b2217..6241f27c7 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -16834,17 +16834,17 @@
         </member>
         <member name="F:IRaCIS.Core.Application.ViewModel.AccessToDialogueEnum.Question">
             <summary>
-            ����
+            质疑
             </summary>
         </member>
         <member name="F:IRaCIS.Core.Application.ViewModel.AccessToDialogueEnum.Consistency">
             <summary>
-            һ���Ժ˲�
+            一致性核查
             </summary>
         </member>
         <member name="T:IRaCIS.Core.Application.ViewModel.CopyFrontAuditConfigItemDto">
             <summary>
-            ����
+            复制
             </summary>
         </member>
         <member name="T:IRaCIS.Core.Application.ViewModel.SystemNoticeView">
diff --git a/IRaCIS.Core.Application/Service/ImageAndDoc/DownloadAndUploadService.cs b/IRaCIS.Core.Application/Service/ImageAndDoc/DownloadAndUploadService.cs
index d849a5c5a..e3f031e0e 100644
--- a/IRaCIS.Core.Application/Service/ImageAndDoc/DownloadAndUploadService.cs
+++ b/IRaCIS.Core.Application/Service/ImageAndDoc/DownloadAndUploadService.cs
@@ -939,7 +939,8 @@ namespace IRaCIS.Core.Application.Service.ImageAndDoc
                 //存在ivus 和oct 这两种的项目
                 if (_readingQuestionCriterionTrialRepository.Where(t => t.TrialId == info.TrialId &&
                 (t.CriterionType == CriterionType.IVUS || t.CriterionType == CriterionType.OCT)).Distinct().Count() == 2
-                && !_noneDicomStudyReposiotry.Any(t => t.SubjectId == inQuery.SubjectId && t.Modality == "IVUS"))
+                && _noneDicomStudyReposiotry.Where(t => t.SubjectId == inQuery.SubjectId && t.Modality == "IVUS").Count() != _dicomStudyRepository.Where(t => t.SubjectId == inQuery.SubjectId).Select(t => t.SubjectVisitId).Distinct().Count()
+                )
                 {
                     #region ivus 自动创建非dicom检查
 
@@ -957,6 +958,7 @@ namespace IRaCIS.Core.Application.Service.ImageAndDoc
 
                            }).ToListAsync();
 
+                    var noneDicomStudyVisitIdList = _noneDicomStudyReposiotry.Where(t => t.SubjectId == inQuery.SubjectId && t.Modality == "IVUS").Select(t => t.SubjectVisitId).ToList();
 
                     var @lock = _distributedLockProvider.CreateLock($"NoneDicomCode");
 
@@ -967,10 +969,12 @@ namespace IRaCIS.Core.Application.Service.ImageAndDoc
                         //默认会是0  
                         var code = await _noneDicomStudyReposiotry.Where(t => t.TrialId == trialId).Select(x => x.Code).DefaultIfEmpty().MaxAsync();
 
-                        foreach (var g in addList.GroupBy(t => t.SubjectVisitId))
+                        foreach (var g in addList.Where(t => !noneDicomStudyVisitIdList.Contains(t.SubjectVisitId)).GroupBy(t => t.SubjectVisitId))
                         {
                             var addOrEditNoneDicomStudy = g.First();
 
+
+
                             var optEntity = await _noneDicomStudyReposiotry.InsertFromDTOAsync(addOrEditNoneDicomStudy);
 
                             optEntity.Code = code + 1;