diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index c77aa5945..9c39f7f33 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -1221,7 +1221,14 @@ namespace IRaCIS.Core.Application.Service
         {
             var criterionInfo = await _readingQuestionCriterionTrialRepository.Where(x => x.Id == inDto.TrialReadingCriterionId).FirstNotNullAsync();
 
-            var tableQuestionMarkList = await _readingTaskQuestionMarkRepository.Where(x => x.VisitTaskId == inDto.TaskId).ProjectTo<TableQuestionMark>(_mapper.ConfigurationProvider).ToListAsync();
+            // 删除病灶不删除病灶标记 所以查询question的时候  已经删除的病灶对应的标记的信息要排除
+            var rowids = await _readingTableAnswerRowInfoRepository.Where(x => x.Id == inDto.TaskId).Select(x => x.Id).ToListAsync();
+
+            List<Guid?> rowidnull = rowids.Select(x => (Guid?)x).ToList();
+          
+            var tableQuestionMarkList = await _readingTaskQuestionMarkRepository.Where(x => x.VisitTaskId == inDto.TaskId
+            &&x.RowId==null|| rowidnull.Contains(x.RowId)
+            ).ProjectTo<TableQuestionMark>(_mapper.ConfigurationProvider).ToListAsync();
             var qusetionList = await _readingQuestionTrialRepository
                 .Where(x => x.IsShowInDicom)
                 .WhereIf(inDto.QuestionClassify != null, x => x.QuestionClassify == inDto.QuestionClassify)
@@ -2069,9 +2076,6 @@ namespace IRaCIS.Core.Application.Service
 
             var index = await _readingCalculateService.GetDeleteLesionStatrIndex(inDto);
 
-
-            await _readingTaskQuestionMarkRepository.BatchDeleteNoTrackingAsync(x => x.RowId == inDto.RowId);
-
             await _readingTableQuestionAnswerRepository.BatchUpdateNoTrackingAsync(x => x.RowId == inDto.RowId, x => new ReadingTableQuestionAnswer()
             {