diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index 8cfe8b9b9..672e00436 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -12974,6 +12974,13 @@
             <param name="param">请求类型</param>
             <returns></returns>
         </member>
+        <member name="M:IRaCIS.Core.Application.Service.ReadingImageTaskService.ChangeReportAnswer(IRaCIS.Core.Application.Service.Reading.Dto.ChangeReportAnswerInDto)">
+            <summary>
+            修改报告问题答案
+            </summary>
+            <param name="inDto"></param>
+            <returns></returns>
+        </member>
         <member name="M:IRaCIS.Core.Application.Service.ReadingImageTaskService.ChangeDicomReadingQuestionAnswer(IRaCIS.Core.Application.Service.Reading.Dto.ChangeDicomReadingQuestionAnswerInDto)">
             <summary>
             修改肿瘤学评估结果
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
index 93efa7aff..3746d4ee4 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
@@ -606,6 +606,21 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         public CriterionType CriterionType { get; set; }
 
     }
+
+    public class ChangeReportAnswerInDto
+    {
+        public List<ChangeReportAnswerDto> AnswerList { get; set; }
+    }
+
+    public class ChangeReportAnswerDto
+    {
+        public Guid VisitTaskId { get; set; }
+
+        public Guid QuestionId { get; set; }
+
+        public string Answer { get; set; } = string.Empty;
+    }
+
     public class ChangeDicomReadingQuestionAnswerInDto
     {
         public Guid VisitTaskId { get; set; }
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index 3fdb97f8c..6a7d8b2ee 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -24,6 +24,7 @@ using System.Reactive.Concurrency;
 using ZiggyCreatures.Caching.Fusion;
 using IRaCIS.Core.Domain.BaseModel;
 using IRaCIS.Core.Domain._DomainEvent;
+using Microsoft.Extensions.Logging;
 
 namespace IRaCIS.Core.Application.Service
 {
@@ -1840,6 +1841,37 @@ namespace IRaCIS.Core.Application.Service
         //    return await ChangeDicomReadingQuestionAnswer(inDto);
         //}
 
+        /// <summary>
+        /// 修改报告问题答案
+        /// </summary>
+        /// <param name="inDto"></param>
+        /// <returns></returns>
+        [HttpPost]
+        public async Task<IResponseOutput> ChangeReportAnswer(ChangeReportAnswerInDto inDto)
+        {
+            foreach (var item in inDto.AnswerList)
+            {
+                if (await _readingTaskQuestionAnswerRepository.AnyAsync(x => x.ReadingQuestionTrialId == item.QuestionId && x.VisitTaskId == item.VisitTaskId))
+                {
+                    await _readingTaskQuestionAnswerRepository.UpdatePartialFromQueryAsync(x => x.ReadingQuestionTrialId == item.QuestionId && x.VisitTaskId == item.VisitTaskId, x => new ReadingTaskQuestionAnswer()
+                    {
+                        Answer = item.Answer
+                    });
+                }
+                else
+                {
+                    await _readingTaskQuestionAnswerRepository.AddAsync(new ReadingTaskQuestionAnswer()
+                    { 
+                       VisitTaskId= item.VisitTaskId,
+                       Answer= item.Answer,
+                       ReadingQuestionTrialId= item.QuestionId,
+                    });
+                }
+            }
+
+            await _readingTaskQuestionAnswerRepository.SaveChangesAsync();
+            return ResponseOutput.Ok(true);
+        }
 
         /// <summary>
         /// 修改肿瘤学评估结果