diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
index 7263e8e18..d994e4372 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
@@ -450,6 +450,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         }
 
 
+
         /// <summary>
         /// 自动计算
         /// </summary>
@@ -470,16 +471,16 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 				new ReadingCalculateData (){QuestionType=QuestionType.SPD,GetDecimalFun=GetSPD},
 
                  // 与基线相比SPD变化的百分比
-			    new ReadingCalculateData (){QuestionType=QuestionType.SPDChange,GetDecimalFun=CompareBaselineSPD},
+			    new ReadingCalculateData (){QuestionType=QuestionType.SPDChange,GetStringFun=CompareBaselineSPD},
 
                 // 与基线相比脾肿大增加的百分比
-				new ReadingCalculateData (){QuestionType=QuestionType.SplenoncusChange,GetDecimalFun=GetSplenoncusChange},
+				new ReadingCalculateData (){QuestionType=QuestionType.SplenoncusChange,GetStringFun=GetSplenoncusChange},
 
                 // 与最低点相比脾脏垂直径长度的增加值
-                new ReadingCalculateData (){QuestionType=QuestionType.SplenoncusAdd,GetDecimalFun=GetSplenoncusAdd},
+                new ReadingCalculateData (){QuestionType=QuestionType.SplenoncusAdd,GetStringFun=GetSplenoncusAdd},
 
                 // 与基线相比脾垂直径变化值
-                new ReadingCalculateData (){QuestionType=QuestionType.SplenoncusDiameterChange,GetDecimalFun=GetSplenoncusDiameterChange},
+                new ReadingCalculateData (){QuestionType=QuestionType.SplenoncusDiameterChange,GetStringFun=GetSplenoncusDiameterChange},
 
                 // 脾肿垂直径最低点访视
                 new ReadingCalculateData (){QuestionType=QuestionType.LowestSplenoncusVisit,GetStringFun=GetLowestSplenoncusVisit},
@@ -1622,11 +1623,11 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         /// </summary>
         /// <param name="inDto"></param>
         /// <returns></returns>
-        public async Task<decimal> CompareBaselineSPD(ReadingCalculateDto inDto)
+        public async Task<string> CompareBaselineSPD(ReadingCalculateDto inDto)
         {
             if (inDto.IsBaseLine)
             {
-                return 0;
+                return "NA";
             }
             var baseLineTaskId = await GetBaseLineTaskId(inDto);
 
@@ -1635,11 +1636,11 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             var presentSpd = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SPD).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
             if (baseLineSpd != 0)
             {
-                return (presentSpd - baseLineSpd)*100 / baseLineSpd;
+                return ReserveDecimal((presentSpd - baseLineSpd)*100 / baseLineSpd,inDto.DigitPlaces);
             }
             else
             {
-                return 0;
+                return "NA";
             }
         }
         #endregion
@@ -1651,24 +1652,24 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         /// </summary>
         /// <param name="inDto"></param>
         /// <returns></returns>
-        public async Task<decimal> GetSplenoncusChange(ReadingCalculateDto inDto)
+        public async Task<string> GetSplenoncusChange(ReadingCalculateDto inDto)
         {
             if (inDto.IsBaseLine)
             {
-                return 0;
+                return "NA";
             }
            
 
             var baseLineSpleenLength =  await GetBaseLineSpleenLength(inDto);
 
             var presentSpleenLength = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SpleenLength).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
-            if (baseLineSpleenLength - 130 != 0)
+            if (baseLineSpleenLength - 130 > 0&& presentSpleenLength>130)
             {
-                return (presentSpleenLength - 130 - (baseLineSpleenLength - 130))*100 / (baseLineSpleenLength - 130);
+                return ReserveDecimal((presentSpleenLength - 130 - (baseLineSpleenLength - 130))*100 / (baseLineSpleenLength - 130), inDto.DigitPlaces);
             }
             else
             {
-                return 0;
+                return "NA";
             }
         }
         #endregion
@@ -1680,17 +1681,17 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         /// </summary>
         /// <param name="inDto"></param>
         /// <returns></returns>
-        public async Task<decimal> GetSplenoncusAdd(ReadingCalculateDto inDto)
+        public async Task<string> GetSplenoncusAdd(ReadingCalculateDto inDto)
         {
             var TaskAnswer = await GetVisitTaskAnswerList(inDto);
             if (inDto.IsBaseLine)
             {
-                return 0;
+                return "NA";
             }
 
             var presentSpd = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SpleenLength).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
             var lowSplenoncus = TaskAnswer.OrderBy(x => x.SpleenLength).Select(x => x.SpleenLength).FirstOrDefault();
-            return presentSpd - lowSplenoncus;
+            return (presentSpd - lowSplenoncus).ToString();
 
 
         }
@@ -1996,7 +1997,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         {
             if (inDto.IsBaseLine)
             {
-                return SUVChangeVSBaseline.NotEvaluable.GetEnumInt();
+                return SUVChangeVSBaseline.NA.GetEnumInt();
             }
 
             if (inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.ExistPET && x.Answer == ReadingYesOrNo.No.GetEnumInt()))
@@ -2427,19 +2428,19 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         /// </summary>
         /// <param name="inDto"></param>
         /// <returns></returns>
-        public async Task<decimal> GetSplenoncusDiameterChange(ReadingCalculateDto inDto)
+        public async Task<string> GetSplenoncusDiameterChange(ReadingCalculateDto inDto)
         {
         
             if (inDto.IsBaseLine)
             {
-                return 0;
+                return "NA";
             }
 
             var baseLineTaskId = await GetBaseLineTaskId(inDto);
             var presentSpleenLength = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SpleenLength).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
             var baseLineSpleenLength = (await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == baseLineTaskId && x.ReadingQuestionTrial.QuestionType == QuestionType.SpleenLength).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
    
-            return presentSpleenLength - baseLineSpleenLength;
+            return (presentSpleenLength - baseLineSpleenLength).ToString();
 
 
         }
@@ -2879,7 +2880,16 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
         #endregion
 
-      
+        /// <summary>
+        /// 保留小数
+        /// </summary>
+        /// <param name="answer"></param>
+        /// <param name="digitPlaces"></param>
+        /// <returns></returns>
+        public string ReserveDecimal (decimal answer, int digitPlaces)
+        {
+            return  decimal.Round(answer, digitPlaces).ToString();
+        }
 
         #region 脾脏评估
 
diff --git a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
index 2fccb06c7..26e74b5a4 100644
--- a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
+++ b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
@@ -1076,6 +1076,7 @@ public enum SUVChangeVSBaseline
         /// </summary>
         NotEvaluable = 4,
 
+        NA=5,
     }
 
     /// <summary>