diff --git a/IRaCIS.Core.API/Controllers/InspectionController.cs b/IRaCIS.Core.API/Controllers/InspectionController.cs
index 771c08514..1c6cc1f3a 100644
--- a/IRaCIS.Core.API/Controllers/InspectionController.cs
+++ b/IRaCIS.Core.API/Controllers/InspectionController.cs
@@ -155,10 +155,19 @@ namespace IRaCIS.Core.API.Controllers
         [TrialGlobalLimit("AfterStopCannNotOpt")]
 
         [UnitOfWork]
-        public async Task<IResponseOutput> FinishMedicalReview(DataInspectionDto<FinishMedicalReviewInDto> opt)
+        public async Task<IResponseOutput> FinishMedicalReview(DataInspectionDto<CloseAndFinishMedicalReview> opt)
         {
             var singid = await _inspectionService.RecordSing(opt.SignInfo);
-            var result = await _readingMedicalReviewService.FinishMedicalReview(opt.Data);
+
+             await _readingMedicalReviewService.ClosedMedicalReviewDialog(new ClosedMedicalReviewDialogInDto() { 
+             DialogCloseReason=opt.Data.DialogCloseReason,
+             IsClosedDialog=opt.Data.IsClosedDialog,
+             MedicalDialogCloseEnum=opt.Data.MedicalDialogCloseEnum,
+             TaskMedicalReviewId=opt.Data.TaskMedicalReviewId
+             });
+            var result = await _readingMedicalReviewService.FinishMedicalReview(new FinishMedicalReviewInDto() { 
+            TaskMedicalReviewId=opt.Data.TaskMedicalReviewId
+            });
             await _inspectionService.CompletedSign(singid, result);
             return result;
         }
diff --git a/IRaCIS.Core.API/IRaCIS.Core.API.xml b/IRaCIS.Core.API/IRaCIS.Core.API.xml
index 62deac025..16f69915e 100644
--- a/IRaCIS.Core.API/IRaCIS.Core.API.xml
+++ b/IRaCIS.Core.API/IRaCIS.Core.API.xml
@@ -136,7 +136,7 @@
             <param name="opt"></param>
             <returns></returns> 
         </member>
-        <member name="M:IRaCIS.Core.API.Controllers.InspectionController.FinishMedicalReview(IRaCIS.Core.Application.Service.Inspection.DTO.DataInspectionDto{IRaCIS.Core.Application.Service.Reading.Dto.FinishMedicalReviewInDto})">
+        <member name="M:IRaCIS.Core.API.Controllers.InspectionController.FinishMedicalReview(IRaCIS.Core.Application.Service.Inspection.DTO.DataInspectionDto{IRaCIS.Core.Application.Service.Reading.Dto.CloseAndFinishMedicalReview})">
             <summary>
             医学审核完成
             </summary>
diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index 7a97525cc..7e04a7df0 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -10935,6 +10935,21 @@
             IR阅片页面是否可以查看既往任务结果
             </summary>
         </member>
+        <member name="P:IRaCIS.Core.Application.Service.Reading.Dto.CloseAndFinishMedicalReview.IsClosedDialog">
+            <summary>
+            是否关闭
+            </summary>
+        </member>
+        <member name="P:IRaCIS.Core.Application.Service.Reading.Dto.CloseAndFinishMedicalReview.MedicalDialogCloseEnum">
+            <summary>
+            医学审核对话关闭原因
+            </summary>
+        </member>
+        <member name="P:IRaCIS.Core.Application.Service.Reading.Dto.CloseAndFinishMedicalReview.DialogCloseReason">
+            <summary>
+            对话关闭原因
+            </summary>
+        </member>
         <member name="P:IRaCIS.Core.Application.Service.Reading.Dto.JointMedicalReviewI18n.Msg1">
             <summary>
             trials:medicalFeedback:message:msg1
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs
index ef361d1ea..ad8345656 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs
@@ -203,6 +203,27 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         public Guid TaskMedicalReviewId { get; set; }
     }
 
+    public class CloseAndFinishMedicalReview
+    {
+        public Guid TaskMedicalReviewId { get; set; }
+
+
+        /// <summary>
+        /// 是否关闭
+        /// </summary>
+        public bool IsClosedDialog { get; set; }
+
+        /// <summary>
+        /// 医学审核对话关闭原因
+        /// </summary>
+        public MedicalDialogClose MedicalDialogCloseEnum { get; set; }
+
+        /// <summary>
+        /// 对话关闭原因
+        /// </summary>
+        public string DialogCloseReason { get; set; } = string.Empty;
+    }
+
     public class JointMedicalReviewI18n
     {
         /// <summary>
diff --git a/IRaCIS.Core.Application/Service/Reading/Interface/IReadingMedicalReviewService.cs b/IRaCIS.Core.Application/Service/Reading/Interface/IReadingMedicalReviewService.cs
index 732026ace..a7a8e6099 100644
--- a/IRaCIS.Core.Application/Service/Reading/Interface/IReadingMedicalReviewService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Interface/IReadingMedicalReviewService.cs
@@ -9,5 +9,7 @@ namespace IRaCIS.Core.Application.Contracts
     {
         Task<IResponseOutput> FinishMedicalReview(FinishMedicalReviewInDto inDto);
 
+        Task<IResponseOutput> ClosedMedicalReviewDialog(ClosedMedicalReviewDialogInDto inDto);
+
     }
 }
\ No newline at end of file