diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingPeriod/ReadingPeriodSetService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingPeriod/ReadingPeriodSetService.cs
index 49966e3c7..e03fd3709 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingPeriod/ReadingPeriodSetService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingPeriod/ReadingPeriodSetService.cs
@@ -764,11 +764,11 @@ namespace IRaCIS.Core.Application.Service
 
             visitQuery= visitQuery.Union(chooseVisitQuery);
             // 已经存在的访视 需要排除
-            var existsBubjectVisitsQuery = _readModuleRepository.Where(y => y.ReadingSetType == inDto.ReadingSetType && y.TrialId == inDto.TrialId && y.ReadingPeriodSetId == inDto.ReadingPeriodSetId).Select(x => x.SubjectVisitId);
+            var existsBubjectVisitsQuery = _readModuleRepository.Where(y => y.ReadingSetType == inDto.ReadingSetType && y.TrialId == inDto.TrialId && y.TrialReadingCriterionId == inDto.TrialReadingCriterionId).Select(x => x.SubjectVisitId);
 
             visitQuery = visitQuery
 
-                .Where(x => !existsBubjectVisitsQuery.Contains(x.Id))
+                .Where(x => !existsBubjectVisitsQuery.Contains(x.Id)|| isChooseVisitIds.Contains(x.Id))
                 .WhereIf(inDto.ExpirationDate != null, x => x.LatestScanDate < inDto.ExpirationDate.Value.AddDays(1))
                 .WhereIf(inDto.ExpirationVisitNum != null, x => x.VisitNum == inDto.ExpirationVisitNum)
                 .WhereIf(inDto.ReadingSetType == ReadingSetType.TumorReading, x => readModulequery.Where(y => y.SubjectVisitId == x.Id && y.ReadingSetType == ReadingSetType.ImageReading).Count() > 0)