diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingPeriodSetViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingPeriodSetViewModel.cs
index 4517b43d6..675055cbb 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingPeriodSetViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingPeriodSetViewModel.cs
@@ -127,6 +127,18 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         public Guid? TrialReadingCriterionId { get; set; }
     }
 
+    public class SetBatchAddOrRemoveReadingPlanInDto
+    {
+        public List<Guid> SubjectVisitIdList { get; set; } = new List<Guid>();
+
+        /// <summary>
+        /// 是否加入阅片计划
+        /// </summary>
+        public bool IsJoin { get; set; }
+
+        public Guid Id { get; set; }
+    }
+
     public class PreviewTheReadingListInDto : PageInput
     {
 
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingPeriod/ReadingPeriodSetService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingPeriod/ReadingPeriodSetService.cs
index c50712231..33f10ce1c 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingPeriod/ReadingPeriodSetService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingPeriod/ReadingPeriodSetService.cs
@@ -83,11 +83,42 @@ namespace IRaCIS.Core.Application.Service
                     TrialSiteId = x,
                 }).ToList();
 
-                entity.ReadingPeriodPlanList = addOrEditReadingPeriodSet.SubjectVisitIds.Select(x => new ReadingPeriodPlan
+                // 修改了就是重新生成计划
+                if (await IsChangeReadingPlan(new IsChangeReadingPlanInDto()
                 {
-                    ReadingPeriodSetId = entity.Id,
-                    SubjectVisitId = x,
-                }).ToList();
+
+                    Id = addOrEditReadingPeriodSet.Id,
+                    ExpirationDate = addOrEditReadingPeriodSet.ExpirationDate,
+                    ReadingScope = addOrEditReadingPeriodSet.ReadingScope.Value,
+                    TrialId = addOrEditReadingPeriodSet.TrialId,
+                    ExpirationVisitNum = addOrEditReadingPeriodSet.ExpirationVisitNum,
+                    VisitStageId = addOrEditReadingPeriodSet.VisitStageId,
+                    ReadingSetType = addOrEditReadingPeriodSet.ReadingSetType,
+                    TrialReadingCriterionId = addOrEditReadingPeriodSet.TrialReadingCriterionId,
+                    SiteIds = addOrEditReadingPeriodSet.SiteIds,
+                }))
+                {
+
+                    entity.ReadingPeriodPlanList = addOrEditReadingPeriodSet.SubjectVisitIds.Select(x => new ReadingPeriodPlan
+                    {
+                        ReadingPeriodSetId = entity.Id,
+                        SubjectVisitId = x,
+                    }).ToList();
+                }
+                else
+                {
+                    var existsVisitIds = await _readingPeriodPlanRepository.Where(x => x.ReadingPeriodSetId == addOrEditReadingPeriodSet.Id).Select(x => x.SubjectVisitId).ToListAsync();
+
+                    var needaddIds = addOrEditReadingPeriodSet.SubjectVisitIds.Where(x => !existsVisitIds.Contains(x)).ToList();
+
+                    entity.ReadingPeriodPlanList.AddRange(needaddIds.Select(x => new ReadingPeriodPlan()
+                    {
+                        ReadingPeriodSetId = entity.Id,
+                        SubjectVisitId = x,
+                    }));
+                }
+
+                 
 
                 var success = await _readingPeriodSetRepository.SaveChangesAsync();
                 return ResponseOutput.Ok(entity.Id);
@@ -498,6 +529,45 @@ namespace IRaCIS.Core.Application.Service
             }
         }
 
+        /// <summary>
+        /// 设置加入或者移除阅片计划
+        /// </summary>
+        /// <param name="inDto"></param>
+        /// <returns></returns>
+        [HttpPost]
+        public async Task<IResponseOutput> SetBatchAddOrRemoveReadingPlan(SetBatchAddOrRemoveReadingPlanInDto inDto)
+        {
+
+
+            if (inDto.IsJoin)
+            {
+                var existsVisitIds = await _readingPeriodPlanRepository.Where(x => x.ReadingPeriodSetId == inDto.Id).Select(x => x.SubjectVisitId).ToListAsync();
+
+                inDto.SubjectVisitIdList = inDto.SubjectVisitIdList.Where(x => !existsVisitIds.Contains(x)).ToList();
+
+                List<ReadingPeriodPlan> plans = inDto.SubjectVisitIdList.Select(x => new ReadingPeriodPlan()
+                {
+                    SubjectVisitId = x,
+                    ReadingPeriodSetId = inDto.Id
+                }).ToList();
+
+                await _readingPeriodPlanRepository.AddRangeAsync(plans);
+            }
+            else
+            {
+                await _readingPeriodPlanRepository.UpdatePartialFromQueryAsync(x => x.ReadingPeriodSetId == inDto.Id && inDto.SubjectVisitIdList.Contains(x.SubjectVisitId), x => new ReadingPeriodPlan()
+                {
+                    IsDeleted = true
+                });
+            }
+
+
+            await _readingPeriodPlanRepository.SaveChangesAsync();
+
+
+            return ResponseOutput.Ok(true);
+        }
+
         /// <summary>
         /// 获取影像阅片的预览 // 需要清除之前已经选中的  (增加标准搜索，已修改)
         /// </summary>