diff --git a/IRaCIS.Core.Application/Service/Allocation/VisitTaskService.cs b/IRaCIS.Core.Application/Service/Allocation/VisitTaskService.cs
index 6e9240a7f..dc2c855f4 100644
--- a/IRaCIS.Core.Application/Service/Allocation/VisitTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Allocation/VisitTaskService.cs
@@ -1407,7 +1407,7 @@ namespace IRaCIS.Core.Application.Service.Allocation
 
                                     //将医学审核设置为失效
                                     var taskIdList = influenceTaskList.Select(t => t.Id).ToList();
-                                    await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(t => taskIdList.Contains(t.VisitTaskId) && t.AuditState == MedicalReviewAuditState.WaitAudit, u => new TaskMedicalReview() { IsInvalid = true });
+                                    await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(t => taskIdList.Contains(t.VisitTaskId) && t.AuditState != MedicalReviewAuditState.HaveSigned, u => new TaskMedicalReview() { IsInvalid = true });
                                 }
 
                                 //申请的访视  要不是重阅重置，要不就是失效 不会存在取消分配
@@ -1529,7 +1529,7 @@ namespace IRaCIS.Core.Application.Service.Allocation
 
                                     //将医学审核设置为失效
                                     var taskIdList = influenceTaskList.Select(t => t.Id).ToList();
-                                    await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(t => taskIdList.Contains(t.VisitTaskId) && t.AuditState == MedicalReviewAuditState.WaitAudit, u => new TaskMedicalReview() { IsInvalid = true });
+                                    await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(t => taskIdList.Contains(t.VisitTaskId) && t.AuditState != MedicalReviewAuditState.HaveSigned, u => new TaskMedicalReview() { IsInvalid = true });
 
                                     trakingOrigenalTask.TaskInfluenceList.Add(new TaskInfluence() { InfluenceTaskId = influenceTask.Id, OptType = ReReadingOrBackOptType.Return });
                                 }
@@ -1636,7 +1636,7 @@ namespace IRaCIS.Core.Application.Service.Allocation
                                     //将医学审核设置为失效
                                     var taskIdList = influenceTaskList.Select(t => t.Id).ToList();
 
-                                    await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(t => taskIdList.Contains(t.VisitTaskId) && t.AuditState == MedicalReviewAuditState.WaitAudit, u => new TaskMedicalReview() { IsInvalid = true });
+                                    await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(t => taskIdList.Contains(t.VisitTaskId) && t.IsHaveQuestion==false && t.AuditState != MedicalReviewAuditState.HaveSigned, u => new TaskMedicalReview() { IsInvalid = true });
 
                                     trakingOrigenalTask.TaskInfluenceList.Add(new TaskInfluence() { InfluenceTaskId = influenceTask.Id, OptType = ReReadingOrBackOptType.Return });
                                 }
@@ -1754,7 +1754,8 @@ namespace IRaCIS.Core.Application.Service.Allocation
 
                                     //将医学审核设置为失效
                                     var taskIdList = influenceTaskList.Select(t => t.Id).ToList();
-                                    await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(t => taskIdList.Contains(t.VisitTaskId) && t.AuditState == MedicalReviewAuditState.WaitAudit, u => new TaskMedicalReview() { IsInvalid = true });
+
+                                    await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(t => taskIdList.Contains(t.VisitTaskId) && t.IsHaveQuestion == false && t.AuditState != MedicalReviewAuditState.HaveSigned, u => new TaskMedicalReview() { IsInvalid = true });
 
                                     trakingOrigenalTask.TaskInfluenceList.Add(new TaskInfluence() { InfluenceTaskId = influenceTask.Id, OptType = ReReadingOrBackOptType.Return });
                                 }