diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index bbfa787a4..c9ab592d5 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -3804,6 +3804,13 @@
             <param name="inDto"></param>
             <returns></returns>
         </member>
+        <member name="M:IRaCIS.Core.Application.Service.ReadingCalculateService.GetReportTumor(System.Guid)">
+            <summary>
+            获取报告整体整体评估
+            </summary>
+            <param name="visitTaskId"></param>
+            <returns></returns>
+        </member>
         <member name="M:IRaCIS.Core.Application.Service.ReadingCalculateService.VerifyVisitTaskQuestions(IRaCIS.Core.Application.Service.Reading.Dto.VerifyVisitTaskQuestionsInDto)">
             <summary>
             验证访视提交
@@ -7918,6 +7925,13 @@
             <param name="indto"></param>
             <returns></returns>
         </member>
+        <member name="M:IRaCIS.Application.Services.ReadingQuestionService.DeleteReadingQuestionCriterionSystem(System.Guid)">
+            <summary>
+            删除系统问题标准
+            </summary>
+            <param name="id"></param>
+            <returns></returns>
+        </member>
         <member name="M:IRaCIS.Application.Services.ReadingQuestionService.AddOrUpdateReadingQuestionSystem(IRaCIS.Core.Application.Service.Reading.Dto.AddOrUpdateReadingQuestionSystemInDto)">
             <summary>
             新增修改系统问题
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
index ace623c7f..b92d17bea 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
@@ -917,6 +917,15 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         /// </summary>
         public Guid VisitTaskId { get; set; }
     }
+
+    public class TableQuestionData
+    {
+        public Guid TableQuestionId { get; set; }
+
+        public int Count { get; set; }
+
+    }
+
     public class SubmitTableQuestionInDto
     {
         public Guid QuestionId { get; set; }
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTaskService.cs
index fecda9b19..5d59c85a8 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTaskService.cs
@@ -1887,7 +1887,21 @@ namespace IRaCIS.Application.Services
         [HttpPost]
         public async Task<IResponseOutput> SubmitTableQuestion(SubmitTableQuestionInDto inDto)
         {
+           
+
             var tableQuestionIds = inDto.AnswerList.Select(x => x.TableQuestionId).ToList();
+
+            var tableQuestionIdGroup = tableQuestionIds.GroupBy(x => new { TableQuestionId = x }).Select(x => new TableQuestionData
+            {
+                TableQuestionId = x.Key.TableQuestionId,
+                Count = x.Count()
+            }).ToList();
+
+            if (tableQuestionIdGroup.Any(x => x.Count > 1))
+            {
+                throw new BusinessValidationFailedException($"相同问题传入两次！");
+            }
+
             var questions = await _readingTableQuestionTrialRepository.Where(x => tableQuestionIds.Contains(x.Id) && x.MaxRowCount != null && x.MaxRowCount != 0).ToListAsync();
 
             foreach (var item in questions)