diff --git a/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs b/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs
index dafad5e04..fdb5f1de4 100644
--- a/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs
+++ b/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs
@@ -2110,7 +2110,6 @@ namespace IRaCIS.Core.Application.Service.Common
 
             var translateDicNameList = list.SelectMany(t => t.QuestionAnswerList).Where(t => t.TranslateDicName.IsNotNullOrEmpty()).Select(t => t.TranslateDicName).Distinct().ToList();
 
-            var columNameList = list.SelectMany(t => t.QuestionAnswerList).Where(t => t.QuestionName.IsNotNullOrEmpty()).Select(t => t.QuestionName).Distinct().ToList();
 
             //针对1.1 整体肿瘤评估 有的两列要合并一列
             if (criterion.CriterionType == CriterionType.RECIST1Point1 || criterion.CriterionType == CriterionType.RECIST1Pointt1_MB || criterion.CriterionType == CriterionType.IRECIST1Point1)
@@ -2137,7 +2136,7 @@ namespace IRaCIS.Core.Application.Service.Common
                     }
                     else
                     {
-                        item.QuestionAnswerList = item.QuestionAnswerList = item.QuestionAnswerList.Where(t => t.QuestionType != QuestionType.ExistDisease).ToList();
+                        item.QuestionAnswerList = item.QuestionAnswerList.Where(t => t.QuestionType != QuestionType.ExistDisease).ToList();
                     }
                 }
             }
@@ -2165,7 +2164,7 @@ namespace IRaCIS.Core.Application.Service.Common
                     }
                     else
                     {
-                        item.QuestionAnswerList = item.QuestionAnswerList = item.QuestionAnswerList.Where(t => t.QuestionType != QuestionType.ExistDisease).ToList();
+                        item.QuestionAnswerList =  item.QuestionAnswerList.Where(t => t.QuestionType != QuestionType.ExistDisease).ToList();
                     }
                 }
             }
@@ -2174,6 +2173,8 @@ namespace IRaCIS.Core.Application.Service.Common
 
             }
 
+            var columNameList = list.SelectMany(t => t.QuestionAnswerList).Where(t => t.QuestionName.IsNotNullOrEmpty()).Select(t => t.QuestionName).Distinct().ToList();
+
             #endregion