diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index 7d3d1cd21..17f465189 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -1364,6 +1364,13 @@
             <param name="inDto"></param>
             <returns></returns>
         </member>
+        <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.Interface.ILuganoCalculateService.SaveSplenicCalculate(System.Guid)">
+            <summary>
+            保存脾尖或者脾底进行计算
+            </summary>
+            <param name="visitTaskId"></param>
+            <returns></returns>
+        </member>
         <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.IRECIST1Point1CalculateService.GetReadingCalculationData(IRaCIS.Core.Application.Service.Reading.Dto.GetReadingCalculationDataInDto)">
             <summary>
             获取阅片的计算数据
@@ -2060,6 +2067,13 @@
             <param name="inDto"></param>
             <returns></returns>
         </member>
+        <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.LuganoCalculateService.SaveSplenicCalculate(System.Guid)">
+            <summary>
+            保存脾尖或者脾底进行计算
+            </summary>
+            <param name="visitTaskId"></param>
+            <returns></returns>
+        </member>
         <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.LuganoCalculateService.GetSplenicState(System.Guid,System.Decimal)">
             <summary>
             获取脾脏状态
@@ -13752,7 +13766,7 @@
             <param name="inDto"></param>
             <returns></returns>
         </member>
-        <member name="M:IRaCIS.Application.Services.ReadingImageTaskService.SaveTaskQuestion(IRaCIS.Core.Application.Service.Reading.Dto.ChangeDicomReadingQuestionAnswerInDto)">
+        <member name="M:IRaCIS.Application.Services.ReadingImageTaskService.SaveTaskQuestion(IRaCIS.Core.Application.Service.Reading.Dto.ChangeDicomReadingQuestionAnswerInDto,System.String)">
             <summary>
             保存任务问题 带动态稽查参数
             </summary>
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index 7bd7cbdb7..1f5bc9ce0 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -20,6 +20,7 @@ using DocumentFormat.OpenXml.Drawing.Charts;
 using IRaCIS.Core.Application.Service.ReadingCalculate.Interface;
 using AutoMapper.QueryableExtensions;
 using IRaCIS.Application.Contracts;
+using IRaCIS.Core.Domain.Models;
 
 namespace IRaCIS.Application.Services
 {
@@ -1741,18 +1742,26 @@ namespace IRaCIS.Application.Services
             return await ChangeDicomReadingQuestionAnswer(inDto);
         }
 
-        /// <summary>
-        /// 保存任务问题 带动态稽查参数
-        /// </summary>
-        /// <param name="inDto"></param>
-        /// <returns></returns>
+		/// <summary>
+		/// 保存任务问题 带动态稽查参数
+		/// </summary>
+		/// <param name="inDto"></param>
+		/// <returns></returns>
 		[Route("/SaveTaskQuestion/{param}")]
 		[HttpPost]
-		[TypeFilter(typeof(TrialResourceFilter), Arguments = new object[] { "AfterStopCannNotOpt" })]
-		public async Task<IResponseOutput> SaveTaskQuestion(ChangeDicomReadingQuestionAnswerInDto inDto)
-        {
-            return await this.SaveImageQuality(inDto);
-        }
+		public async Task<IResponseOutput> SaveTaskQuestion(ChangeDicomReadingQuestionAnswerInDto inDto, string param)
+		{
+			var taskinfo = await _visitTaskRepository.Where(x => x.Id == inDto.VisitTaskId).Include(x => x.TrialReadingCriterion).FirstNotNullAsync();
+			var result = await this.SaveImageQuality(inDto);
+			// 保存脾尖或者脾底进行计算
+			if (taskinfo.TrialReadingCriterion.CriterionType == CriterionType.Lugano2014 && (param == "4" || param == "5"))
+			{
+				await _luganoCalculateService.SaveSplenicCalculate(inDto.VisitTaskId);
+			}
+
+			return result;
+
+		}
 
 		///// <summary>
 		///// 保存ECRF
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/Interface/ILuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/Interface/ILuganoCalculateService.cs
index 81624907a..a5b030976 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/Interface/ILuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/Interface/ILuganoCalculateService.cs
@@ -22,5 +22,12 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate.Interface
 		/// <param name="inDto"></param>
 		/// <returns></returns>
 		Task CalculateMergeTargetLesionStatus(CalculateTargetLesionStatusInDto inDto);
+
+		/// <summary>
+		/// 保存脾尖或者脾底进行计算
+		/// </summary>
+		/// <param name="visitTaskId"></param>
+		/// <returns></returns>
+		Task SaveSplenicCalculate(Guid visitTaskId);
 	}
 }
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
index bce37b092..865bcaabf 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
@@ -2144,15 +2144,96 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         }
         #endregion
 
-        #region 获取脾脏状态
-
         /// <summary>
-        /// 获取脾脏状态
+        /// 保存脾尖或者脾底进行计算
         /// </summary>
         /// <param name="visitTaskId"></param>
-        /// <param name="spleenLength"></param>
         /// <returns></returns>
-        [HttpPost]
+        public async Task SaveSplenicCalculate(Guid visitTaskId)
+        {
+			var taskinfo = await _visitTaskRepository.Where(x => x.Id == visitTaskId).FirstNotNullAsync();
+
+            List<QuestionType?> questionTypes = new List<QuestionType?>
+            {
+                QuestionType.SplenicTopPosition,
+                QuestionType.SplenicBottomPosition,
+                QuestionType.SpleenLength,
+                QuestionType.SplenicStatus,
+
+            };
+            var questionlist = await _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrialId == taskinfo.TrialReadingCriterionId &&
+		    questionTypes.Contains(x.QuestionType)).ToListAsync();
+
+            var splenicTopQuestionId = questionlist.Where(x => x.QuestionType == QuestionType.SplenicTopPosition).Select(x => x.Id).FirstOrDefault();
+			var splenicBottomQuestionId = questionlist.Where(x => x.QuestionType == QuestionType.SplenicBottomPosition).Select(x => x.Id).FirstOrDefault();
+
+			decimal? spleenLength = null;
+            string? splenicState = null;
+
+			// 脾尖答案
+			var splenicTopAnswer = await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == visitTaskId && x.ReadingQuestionTrialId == splenicTopQuestionId).FirstOrDefaultAsync();
+           // 脾底答案
+            var splenicBottomAnswer= await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == visitTaskId && x.ReadingQuestionTrialId == splenicBottomQuestionId).FirstOrDefaultAsync();
+
+            if (splenicTopAnswer != null && splenicBottomAnswer != null)
+            {
+                spleenLength = splenicTopAnswer.Answer.IsNullOrEmptyReturn0() - splenicBottomAnswer.Answer.IsNullOrEmptyReturn0();
+                if(spleenLength<0)
+                {
+                    spleenLength = 0 - spleenLength;
+				}
+                splenicState =await GetSplenicState(visitTaskId, spleenLength.Value);
+			}
+
+            //脾脏垂直径Id
+			var spleenVerticalDiameterQuestionId = questionlist.Where(x => x.QuestionType == QuestionType.SpleenLength).Select(x => x.Id).FirstOrDefault();
+			// 脾脏状态Id
+            var splenicStatusQuestionId = questionlist.Where(x => x.QuestionType == QuestionType.SplenicStatus).Select(x => x.Id).FirstOrDefault();
+
+            List<ReadingTaskQuestionAnswer> readingTaskQuestionAnswers = new List<ReadingTaskQuestionAnswer>();
+            if (spleenLength != null)
+            {
+                readingTaskQuestionAnswers.Add(new ReadingTaskQuestionAnswer()
+                {
+                    Answer = spleenLength.Value.ToString(),
+                    ReadingQuestionTrialId = spleenVerticalDiameterQuestionId,
+                    VisitTaskId = visitTaskId,
+                    SubjectId = taskinfo.SubjectId,
+                    TrialId = taskinfo.TrialId,
+                    ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+
+                });
+			}
+            if (splenicState != null)
+            {
+				readingTaskQuestionAnswers.Add(new ReadingTaskQuestionAnswer()
+				{
+					Answer = splenicState.ToString(),
+					ReadingQuestionTrialId = splenicStatusQuestionId,
+					VisitTaskId = visitTaskId,
+					SubjectId = taskinfo.SubjectId,
+					TrialId = taskinfo.TrialId,
+					ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+
+				});
+			}
+
+            await _readingTaskQuestionAnswerRepository.BatchDeleteNoTrackingAsync(x => x.VisitTaskId == visitTaskId && (x.ReadingQuestionTrialId == spleenVerticalDiameterQuestionId || x.ReadingQuestionTrialId == splenicStatusQuestionId));
+            await _readingTaskQuestionAnswerRepository.AddRangeAsync(readingTaskQuestionAnswers);
+            await _readingTaskQuestionAnswerRepository.SaveChangesAsync();
+
+
+		}
+
+		#region 获取脾脏状态
+
+		/// <summary>
+		/// 获取脾脏状态
+		/// </summary>
+		/// <param name="visitTaskId"></param>
+		/// <param name="spleenLength"></param>
+		/// <returns></returns>
+		[HttpPost]
         public async Task<string> GetSplenicState(Guid visitTaskId,decimal spleenLength)
         {
 
diff --git a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
index 93e01519e..396877ef7 100644
--- a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
+++ b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
@@ -2285,10 +2285,10 @@ public enum SUVChangeVSBaseline
         /// </summary>
         LiverState = 47,
 
-        /// <summary>
-        /// 脾脏长度
-        /// </summary>
-        SpleenLength = 48,
+		/// <summary>
+		/// 脾脏垂直径
+		/// </summary>
+		SpleenLength = 48,
 
         /// <summary>
         /// 脾脏状态