diff --git a/IRaCIS.Core.Application/Service/ImageAndDoc/DownloadAndUploadService.cs b/IRaCIS.Core.Application/Service/ImageAndDoc/DownloadAndUploadService.cs
index 9453074da..918171eb3 100644
--- a/IRaCIS.Core.Application/Service/ImageAndDoc/DownloadAndUploadService.cs
+++ b/IRaCIS.Core.Application/Service/ImageAndDoc/DownloadAndUploadService.cs
@@ -824,39 +824,68 @@ namespace IRaCIS.Core.Application.Service.ImageAndDoc
 
 
         [HttpDelete]
-        public async Task<IResponseOutput> DeleteTaskStudy(Guid visitTaskId, bool isDicom, Guid? dicomStudyId, Guid? noneDicomStudyId)
+        public async Task<IResponseOutput> DeleteTaskStudy(Guid visitTaskId, Guid? subjectVisitId, bool isDicom, Guid? dicomStudyId, Guid? noneDicomStudyId)
         {
             if (isDicom)
             {
-                if (dicomStudyId == null)
+                //靶段标注删除访视影像
+                if (visitTaskId == Guid.Empty && subjectVisitId != null && subjectVisitId != Guid.Empty)
                 {
-                    var deleteStudyPathList = await _taskInstanceRepository.Where(t => t.VisitTaskId == visitTaskId).GroupBy(t => t.StudyId).Select(g => g.First().Path).ToListAsync();
-
-                    foreach (var fisrtPath in deleteStudyPathList)
-                    {
-                        var prefix = fisrtPath.Substring(1, fisrtPath.LastIndexOf('/') - 1);
-                        await _oSSService.DeleteFromPrefix(prefix, true);
-                    }
-
-
-                    await _taskStudyRepository.DeleteFromQueryAsync(t => t.VisitTaskId == visitTaskId);
-                    await _taskSeriesRepository.BatchDeleteNoTrackingAsync(t => t.VisitTaskId == visitTaskId);
-                    await _taskInstanceRepository.BatchDeleteNoTrackingAsync(t => t.VisitTaskId == visitTaskId);
-                }
-                else
-                {
-                    var fisrtPath = await _taskInstanceRepository.Where(t => t.VisitTaskId == visitTaskId && t.StudyId == dicomStudyId).Select(t => t.Path).FirstOrDefaultAsync();
+                    var fisrtPath = await _taskInstanceRepository.Where(t => t.SubjectVisitId == subjectVisitId && t.StudyId == dicomStudyId).Select(t => t.Path).FirstOrDefaultAsync();
                     var prefix = fisrtPath.Substring(1, fisrtPath.LastIndexOf('/') - 1);
                     await _oSSService.DeleteFromPrefix(prefix, true);
 
-                    await _taskStudyRepository.DeleteFromQueryAsync(t => t.VisitTaskId == visitTaskId && t.Id == dicomStudyId);
-                    await _taskSeriesRepository.BatchDeleteNoTrackingAsync(t => t.VisitTaskId == visitTaskId && t.Id == dicomStudyId);
-                    await _taskInstanceRepository.BatchDeleteNoTrackingAsync(t => t.VisitTaskId == visitTaskId && t.Id == dicomStudyId);
+                    await _taskStudyRepository.DeleteFromQueryAsync(t => t.SubjectVisitId == subjectVisitId && t.Id == dicomStudyId);
+                    await _taskSeriesRepository.BatchDeleteNoTrackingAsync(t => t.SubjectVisitId == subjectVisitId && t.Id == dicomStudyId);
+                    await _taskInstanceRepository.BatchDeleteNoTrackingAsync(t => t.SubjectVisitId == subjectVisitId && t.Id == dicomStudyId);
                 }
+
+                if (visitTaskId != Guid.Empty)
+                {
+                    if (dicomStudyId == null)
+                    {
+                        var deleteStudyPathList = await _taskInstanceRepository.Where(t => t.VisitTaskId == visitTaskId).GroupBy(t => t.StudyId).Select(g => g.First().Path).ToListAsync();
+
+                        foreach (var fisrtPath in deleteStudyPathList)
+                        {
+                            var prefix = fisrtPath.Substring(1, fisrtPath.LastIndexOf('/') - 1);
+                            await _oSSService.DeleteFromPrefix(prefix, true);
+                        }
+
+
+                        await _taskStudyRepository.DeleteFromQueryAsync(t => t.VisitTaskId == visitTaskId);
+                        await _taskSeriesRepository.BatchDeleteNoTrackingAsync(t => t.VisitTaskId == visitTaskId);
+                        await _taskInstanceRepository.BatchDeleteNoTrackingAsync(t => t.VisitTaskId == visitTaskId);
+                    }
+                    else
+                    {
+                        var fisrtPath = await _taskInstanceRepository.Where(t => t.VisitTaskId == visitTaskId && t.StudyId == dicomStudyId).Select(t => t.Path).FirstOrDefaultAsync();
+                        var prefix = fisrtPath.Substring(1, fisrtPath.LastIndexOf('/') - 1);
+                        await _oSSService.DeleteFromPrefix(prefix, true);
+
+                        await _taskStudyRepository.DeleteFromQueryAsync(t => t.VisitTaskId == visitTaskId && t.Id == dicomStudyId);
+                        await _taskSeriesRepository.BatchDeleteNoTrackingAsync(t => t.VisitTaskId == visitTaskId && t.Id == dicomStudyId);
+                        await _taskInstanceRepository.BatchDeleteNoTrackingAsync(t => t.VisitTaskId == visitTaskId && t.Id == dicomStudyId);
+                    }
+                }
+
             }
             else
             {
-                await _noneDicomStudyFileReposiotry.DeleteFromQueryAsync(t => t.VisitTaskId == visitTaskId && t.OriginNoneDicomStudyId == noneDicomStudyId);
+                if (visitTaskId == Guid.Empty)
+                {
+
+                    //删除靶段标注非dicom
+                    await _noneDicomStudyFileReposiotry.DeleteFromQueryAsync(t => t.ImageLabelNoneDicomStudyId == noneDicomStudyId);
+
+                }
+                else
+                {
+                    //删除后处理非dicom
+                    await _noneDicomStudyFileReposiotry.DeleteFromQueryAsync(t => t.VisitTaskId == visitTaskId && t.OriginNoneDicomStudyId == noneDicomStudyId);
+
+                }
+
             }
 
             await _noneDicomStudyFileReposiotry.SaveChangesAsync();