diff --git a/20220116后端提示语_v1.xlsx b/20220116后端提示语_v1.xlsx
index 4416fc27a..a8df92af5 100644
Binary files a/20220116后端提示语_v1.xlsx and b/20220116后端提示语_v1.xlsx differ
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs
index 7b980ae67..31ef02244 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs
@@ -452,7 +452,25 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                     QuestionType.ExistDisease,
                 };
 
+                // 没有靶病灶就删除其他几个答案的值
+                var isNeedDeleteTypes = calculateList.Where(x => !questionTypes.Contains(x.QuestionType)).Select(x => x.QuestionType).ToList();
+
+
+                var isNeedDeleteIds = inDto.QuestionInfo.Where(x =>x.QuestionType!=null&& isNeedDeleteTypes.Contains(x.QuestionType.Value)).Select(x => x.QuestionId).ToList();
+
+                await _readingTaskQuestionAnswerRepository.BatchUpdateNoTrackingAsync(x => x.VisitTaskId == inDto.VisitTaskId && isNeedDeleteIds.Contains(x.ReadingQuestionTrialId), x => new ReadingTaskQuestionAnswer
+                {
+                    Answer = string.Empty
+                });
+
+
+
                 calculateList = calculateList.Where(x => questionTypes.Contains(x.QuestionType)).ToList();
+
+
+               
+
+
             }
 
             if (calculateType != null)