diff --git a/IRaCIS.Core.Application/Service/Visit/PatientService.cs b/IRaCIS.Core.Application/Service/Visit/PatientService.cs
index 4b2131f07..08f0c5b99 100644
--- a/IRaCIS.Core.Application/Service/Visit/PatientService.cs
+++ b/IRaCIS.Core.Application/Service/Visit/PatientService.cs
@@ -757,15 +757,25 @@ namespace IRaCIS.Application.Services
         [HttpPost]
         public async Task<IResponseOutput<List<PatientJoinTrialSelectView>>> GetPatientJoinTrialInitSelectList(PatientJoinTrialInitQuery inQuery)
         {
+
+            var currentUserHospitalGroupList = _identityUserRepository.Where(t => t.Id == _userInfo.IdentityUserId).SelectMany(t => t.IdentityUserHospitalGroupList)
+                 .Where(t => t.IsDisabled == false && t.HospitalGroup.IsEnable).Select(t => new { t.HospitalGroupId, t.IsManager }).ToList();
+
+            var hospitalGroupAdminIdList = currentUserHospitalGroupList.Where(t => t.IsManager).Select(t => t.HospitalGroupId).ToList();
+            var hospitalGroupIdList = currentUserHospitalGroupList.Select(t => t.HospitalGroupId).ToList();
+
             //排除已参与的项目列表
             var exceptQuery = _subjectPatientRepository.Where(t => t.PatientId == inQuery.PatientId).Select(t => t.Subject.TrialId);
 
             //患者检查所属的课题组 要和项目进行匹配，否则过滤掉
-            var hospitalGroupIdList = await _studyRepository.Where(t => t.PatientId == inQuery.PatientId).SelectMany(t => t.HospitalGroupList).Select(t => t.HospitalGroupId).Distinct().ToListAsync();
+            var studyhospitalGroupIdList = await _studyRepository.Where(t => t.PatientId == inQuery.PatientId).SelectMany(t => t.HospitalGroupList).Select(t => t.HospitalGroupId).Distinct().ToListAsync();
 
-            var trialQuery = _trialRepository.Where(t => t.TrialStatusStr == StaticData.TrialState.TrialOngoing && hospitalGroupIdList.Contains(t.HospitalGroupId))
+
+            var intersection = hospitalGroupIdList.Intersect(studyhospitalGroupIdList).ToList();
+
+            var trialQuery = _trialRepository.Where(t => t.TrialStatusStr == StaticData.TrialState.TrialOngoing && intersection.Contains(t.HospitalGroupId))
                 .WhereIf(!string.IsNullOrWhiteSpace(inQuery.Filter), t => t.ResearchProgramNo.Contains(inQuery.Filter) || t.ExperimentName.Contains(inQuery.Filter))
-                .Where(t => t.TrialUserRoleList.Any(c => c.UserId == _userInfo.UserRoleId))
+                .Where(t => t.TrialUserRoleList.Any(c => c.UserId == _userInfo.UserRoleId) && t.TrialIdentityUserList.Any(t => t.IdentityUserId == _userInfo.IdentityUserId))
                 .Where(t => !exceptQuery.Any(c => c == t.Id)).ProjectTo<PatientJoinTrialSelectView>(_mapper.ConfigurationProvider);
 
             var list = trialQuery.ToList();