diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index 3451ebb15..6b4640d40 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -1543,8 +1543,13 @@ namespace IRaCIS.Application.Services
 				Answer = TargetState.Loss.GetEnumInt(),
 			});
 
+			await _readingTableQuestionAnswerRepository.BatchUpdateNoTrackingAsync(x => inDto.MergeRowIdList.Contains(x.RowId) &&( x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.MajorAxis || x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.ShortAxis), x => new ReadingTableQuestionAnswer()
+			{
+				Answer = "0",
+			});
 
-            await _readingTableAnswerRowInfoRepository.UpdatePartialFromQueryAsync(x=> inDto.MergeRowIdList.Contains(x.Id), x => new ReadingTableAnswerRowInfo()
+
+			await _readingTableAnswerRowInfoRepository.UpdatePartialFromQueryAsync(x=> inDto.MergeRowIdList.Contains(x.Id), x => new ReadingTableAnswerRowInfo()
             {
                 MergeRowId=inDto.MergeMainRowId,
                 SplitOrMergeType = SplitOrMergeType.Merge,
@@ -1587,29 +1592,29 @@ namespace IRaCIS.Application.Services
         {
             var rowinfo = await _readingTableAnswerRowInfoRepository.Where(x => x.Id == inDto.RowId).Include(x=>x.ReadingQuestionTrial).FirstNotNullAsync();
 
+            var taskInfo = await _visitTaskRepository.Where(x => x.Id == rowinfo.VisitTaskId).Include(x => x.TrialReadingCriterion).FirstNotNullAsync();
             // 需要排除的状态
             var needFilterState = new List<string>();
 
-            switch (rowinfo.ReadingQuestionTrial.LesionType)
+            var query = _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == rowinfo.VisitTaskId && x.QuestionId == rowinfo.QuestionId && x.Id != rowinfo.Id)
+              .Where(x => x.SplitOrMergeType != SplitOrMergeType.Split && x.SplitOrMergeType != SplitOrMergeType.SplitMain);
+
+			switch (taskInfo.TrialReadingCriterion.CriterionType)
             {
-				//状态为“消失”、“无法评估”的靶病灶不可融合；
-				case LesionType.TargetLesion:
-                    needFilterState = new List<string>() {
-                        TargetState.Loss.GetEnumInt(),
-                        TargetState.UnableEvaluate.GetEnumInt(),
-                        string.Empty,
-                    };
+			
+				case CriterionType.Lugano2014:
+                    query = query.Where(x => x.MeasureData == string.Empty ||
+                    (x.LesionAnswerList.Any(y => y.ReadingTableQuestionTrial.QuestionMark == QuestionMark.State && y.Answer == TargetState.Loss.GetEnumInt()) &&
+                    x.LesionAnswerList.Any(y => y.ReadingTableQuestionTrial.QuestionMark == QuestionMark.IsLymph && y.Answer == ReadingYesOrNo.No.GetEnumInt())
+                    ));
 
 					break;
 
 			}
 
 
-            var result = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == rowinfo.VisitTaskId && x.QuestionId == rowinfo.QuestionId && x.Id != rowinfo.Id)
-                // 筛选状态
-                .Where(x => x.LesionAnswerList.Any(y => y.ReadingTableQuestionTrial.QuestionMark == QuestionMark.State && !needFilterState.Contains(y.Answer)))
-                .Where(x=>x.SplitOrMergeType!=SplitOrMergeType.Split&&x.SplitOrMergeType!=SplitOrMergeType.SplitMain)
-                .Select(x => new GetCanMergeLesionOutDto()
+            var result = await query
+				.Select(x => new GetCanMergeLesionOutDto()
                 {
                     RowId = x.Id,
                     RowIndex = x.RowIndex,