diff --git a/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs b/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs
index fdb5f1de4..58e0bbb13 100644
--- a/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs
+++ b/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs
@@ -1644,13 +1644,13 @@ namespace IRaCIS.Core.Application.Service.Common
                     else
                     {
                         //如果没有产生裁判，默认选择R1
-                        if (item.ArmEnum== Arm.DoubleReadingArm1)
+                        if (item.ArmEnum == Arm.DoubleReadingArm1)
                         {
                             item.IsJudgeSelect = true;
                         }
-                    }        
+                    }
                 }
-             
+
             }
             if (arbitrationRule == ArbitrationRule.Reading)
             {
@@ -2117,19 +2117,17 @@ namespace IRaCIS.Core.Application.Service.Common
                 foreach (var item in list)
                 {
                     //处理合并表头
-                    if (list.IndexOf(item) == 0)
+
+                    var questionType = item.IsBaseline == true ? QuestionType.ExistDisease : QuestionType.Tumor;
+
+                    var findItem = item.QuestionAnswerList.Where(t => t.QuestionType == questionType).FirstOrDefault();
+
+                    if (findItem != null)
                     {
-                        var questionType = item.IsBaseline == true ? QuestionType.ExistDisease : QuestionType.Tumor;
-
-                        var findItem = item.QuestionAnswerList.Where(t => t.QuestionType == questionType).FirstOrDefault();
-
-                        if (findItem != null)
-                        {
-                            findItem.QuestionName = _userInfo.IsEn_Us ? "Overall Response" : "整体肿瘤评估";
-                        }
-
+                        findItem.QuestionName = _userInfo.IsEn_Us ? "Overall Response" : "整体肿瘤评估";
                     }
 
+
                     if (item.IsBaseline == true)
                     {
                         item.QuestionAnswerList = item.QuestionAnswerList.Where(t => t.QuestionType != QuestionType.Tumor).ToList();
@@ -2146,16 +2144,14 @@ namespace IRaCIS.Core.Application.Service.Common
                 foreach (var item in list)
                 {
                     //处理合并表头
-                    if (list.IndexOf(item) == 0)
+
+                    var questionType = item.IsBaseline == true ? QuestionType.ExistDisease : QuestionType.ImgOncology;
+
+                    var findItem = item.QuestionAnswerList.Where(t => t.QuestionType == questionType).FirstOrDefault();
+
+                    if (findItem != null)
                     {
-                        var questionType = item.IsBaseline == true ? QuestionType.ExistDisease : QuestionType.ImgOncology;
-
-                        var findItem = item.QuestionAnswerList.Where(t => t.QuestionType == questionType).FirstOrDefault();
-
-                        if (findItem != null)
-                        {
-                            findItem.QuestionName = _userInfo.IsEn_Us ? "Overall Response" : "整体肿瘤评估";
-                        }
+                        findItem.QuestionName = _userInfo.IsEn_Us ? "Overall Response" : "整体肿瘤评估";
                     }
 
                     if (item.IsBaseline == true)
@@ -2164,7 +2160,7 @@ namespace IRaCIS.Core.Application.Service.Common
                     }
                     else
                     {
-                        item.QuestionAnswerList =  item.QuestionAnswerList.Where(t => t.QuestionType != QuestionType.ExistDisease).ToList();
+                        item.QuestionAnswerList = item.QuestionAnswerList.Where(t => t.QuestionType != QuestionType.ExistDisease).ToList();
                     }
                 }
             }
@@ -2243,7 +2239,7 @@ namespace IRaCIS.Core.Application.Service.Common
                 //2、完成阅片的病例数Q：R1,R2均完成阅片的访视数；
 
                 exportInfo.VisitCount = _visitTaskRepository.Where(comonTaskFilter).Where(t => t.ReadingCategory == ReadingCategory.Visit && t.ReadingTaskState == ReadingTaskState.HaveSigned)
-                    .GroupBy(t => new { t.SubjectId,  t.SourceSubjectVisitId })
+                    .GroupBy(t => new { t.SubjectId, t.SourceSubjectVisitId })
                     .Where(g => g.Count() == 2).Select(g => g.Key.SourceSubjectVisitId).Distinct().Count();
 
                 exportInfo.JudgeVisitCount = _visitTaskRepository.Where(comonTaskFilter).Where(t => t.ReadingCategory == ReadingCategory.Judge && t.ReadingTaskState == ReadingTaskState.HaveSigned).Count();