diff --git a/IRaCIS.Core.Application/Triggers/SubjectVisitFinalVisitTrigger.cs b/IRaCIS.Core.Application/Triggers/SubjectVisitFinalVisitTrigger.cs
index 0715165cc..96208ed59 100644
--- a/IRaCIS.Core.Application/Triggers/SubjectVisitFinalVisitTrigger.cs
+++ b/IRaCIS.Core.Application/Triggers/SubjectVisitFinalVisitTrigger.cs
@@ -132,10 +132,10 @@ namespace IRaCIS.Core.Application.Triggers
                     SubjectVisitId = subjectVisitId,
                     ReadingPeriodSetId = readingPeriodSet.Id,
                 });
-             
-                // 当前访视没有阅片期才添加
-                if (!await _readModuleRepository.AnyAsync(x => x.SubjectVisitId == subjectVisitId && x.ReadingSetType == ReadingSetType.ImageReading))
-                {
+
+
+                await _readModuleRepository.DeleteFromQueryAsync(x => x.ReadingSetType == ReadingSetType.ImageReading && x.SubjectVisitId == subjectVisitId, true);
+               
                     await _readModuleRepository.AddAsync(new ReadModule()
                     {
                         ReadingPeriodSetId = readingPeriodSet.Id,
@@ -149,7 +149,7 @@ namespace IRaCIS.Core.Application.Triggers
                         TrialId = subjectVisit.TrialId,
                         VisitNum = subjectVisit.VisitNum,
                     });
-                }
+              
 
                 await _readModuleRepository.SaveChangesAsync();
             }