diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index df3a54eda..856d02313 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -2179,13 +2179,13 @@ namespace IRaCIS.Core.Application.Service
                 var markquestionId = inDto.QuestionMarkInfoList.Select(y => (Guid?)y.QuestionId).ToList();
 
                 List<Guid?> needDeleteMarkQuestonIds = inDto.Answers.Where(x => x.Answer == string.Empty).Select(x => (Guid?)x.Id).ToList();
-
+                var needDeleteMarkQuestionIds = questionList.Except(markquestionId).ToList();
                 switch (taskInfo.TrialReadingCriterion.CriterionType)
                 {
 
                     case CriterionType.SelfDefine:
                         // 先找到需要删除的
-                        var needDeleteMarkQuestionIds = questionList.Except(markquestionId).ToList();
+                    
                         foreach (var item in needDeleteMarkQuestionIds)
                         {
                             // 对于要删除的标记不能删除 要与问题解绑
@@ -2223,21 +2223,19 @@ namespace IRaCIS.Core.Application.Service
              
                     case CriterionType.Lugano2014:
 
-                        //await _readingTaskQuestionMarkRepository.BatchUpdateNoTrackingAsync(x =>
-                        //(x.QuestionType == QuestionType.SplenicTopPosition || x.QuestionType == QuestionType.SplenicBottomPosition) &&
-                        //x.VisitTaskId == inDto.VisitTaskId && needDeleteMarkQuestonIds.Contains(x.QuestionId), x => new ReadingTaskQuestionMark()
-                        //{
-                        //    PicturePath = string.Empty,
-                        //    MeasureData = string.Empty,
-                        //});
+                        // 先找到需要删除的
+  
+                        foreach (var item in needDeleteMarkQuestionIds)
+                        {
+                            // 对于要删除的标记不能删除 要与问题解绑
+                            // 但是对于一个标记绑定多个问题的情况 相当于是要删除掉这条信息
+                            var questionMark = await _readingTaskQuestionMarkRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && x.QuestionId == item).FirstOrDefaultAsync();
+                            if (questionMark != null)
+                            {
+                                await _readingTaskQuestionMarkRepository.DeleteAsync(questionMark);
+                            }
 
-                        //await _readingTaskQuestionMarkRepository.BatchUpdateNoTrackingAsync(x =>
-                        //(x.QuestionType == QuestionType.LiverSUVmax || x.QuestionType == QuestionType.MediastinumSUVmax) &&
-                        //x.VisitTaskId == inDto.VisitTaskId && needDeleteMarkQuestonIds.Contains(x.QuestionId), x => new ReadingTaskQuestionMark()
-                        //{
-                        //    OtherPicturePath = string.Empty,
-                        //    OtherMeasureData = string.Empty,
-                        //});
+                        }
 
                         await addOrEditmark(inDto.QuestionMarkInfoList);