diff --git a/src/api/trials.js b/src/api/trials.js
index 3c367114..717ce7c0 100644
--- a/src/api/trials.js
+++ b/src/api/trials.js
@@ -4457,4 +4457,13 @@ export function amendmentPatientInfo(data) {
     method: 'post',
     data
   })
+}
+
+//修改临床数据后 将签名状态变更为未签名
+export function updateReadModuleClinicalData(data) {
+  return request({
+    url: `/ReadingClinicalData/updateReadModuleClinicalData`,
+    method: 'post',
+    data
+  })
 }
\ No newline at end of file
diff --git a/src/components/Dicom/DicomViewer.vue b/src/components/Dicom/DicomViewer.vue
index 8eefb5dd..9b916af2 100644
--- a/src/components/Dicom/DicomViewer.vue
+++ b/src/components/Dicom/DicomViewer.vue
@@ -1218,7 +1218,7 @@ export default {
 
 
 
-.btnBox {
+.dicom-tools .btnBox {
   display: inline-block;
   width: 80px;
   text-align: center;
diff --git a/src/views/trials/trials-panel/subject/reading-period/components/ClinicalData.vue b/src/views/trials/trials-panel/subject/reading-period/components/ClinicalData.vue
index 7c2a0024..97d6ea6e 100644
--- a/src/views/trials/trials-panel/subject/reading-period/components/ClinicalData.vue
+++ b/src/views/trials/trials-panel/subject/reading-period/components/ClinicalData.vue
@@ -143,6 +143,15 @@
                   scope.row.IsSign ||
                   scope.row.UploadRole === 0
                   " @click="handleDelete(scope.row)" />
+              <!-- 更新 临床数据已签名，阅片状态待阅片 -->
+              <el-button
+                v-hasPermi="['trials:trials-panel:subject:readingPeriod:edit']" 
+                circle
+                :title="$t('trials:readingPeriod:cd:action:update')" icon="el-icon-refresh" 
+                :disabled="
+                  !scope.row.IsSign ||
+                  scope.row.UploadRole === 0 || data.ReadingStatus > 4" 
+                @click="handleUpdateStatus(scope.row)" />
             </template>
           </el-table-column>
         </el-table>
@@ -285,6 +294,15 @@
                   scope.row.IsSign ||
                   scope.row.UploadRole === 0
                   " @click="handleDelete(scope.row)" />
+              <!-- 更新 临床数据已签名，阅片状态待阅片 -->
+              <el-button
+                v-hasPermi="['trials:trials-panel:subject:readingPeriod:edit']" 
+                circle
+                :title="$t('trials:readingPeriod:cd:action:update')" icon="el-icon-refresh" 
+                :disabled="
+                  !scope.row.IsSign ||
+                  scope.row.UploadRole === 0 || data.ReadingStatus > 4" 
+                @click="handleUpdateStatus(scope.row)" />
             </template>
           </el-table-column>
         </el-table>
@@ -328,6 +346,7 @@ import {
   getTrialClinicalDataSelect,
   getConsistencyAnalysisReadingClinicalDataList,
   signConsistencyAnalysisReadingClinicalData,
+  updateReadModuleClinicalData
 } from '@/api/trials'
 import AddOrEditCD from './AddOrEditCD'
 import Verification from './Verification'
@@ -658,6 +677,28 @@ export default {
         })
         .catch(() => { })
     },
+    async handleUpdateStatus(row) {
+      try {
+        const confirm = await this.$confirm(this.$t('trials:readingPeriod:cd:message:updateCDStatus'), {
+          type: 'warning',
+          distinguishCancelAndClose: true,
+        })
+        if (confirm === 'confirm') {
+          this.loading = true
+          let res = await updateReadModuleClinicalData({readingClinicalDataId: row.Id})
+          this.loading = false
+          if (res.IsSuccess) {
+            this.getList()
+            this.$message.success(this.$t('common:message:savedSuccessfully'))
+          }
+        } else {
+          this.subjectPeriod.visible = true
+        }
+      } catch(e) {
+        this.loading = false
+        console.log(e)
+      }
+    },
     handleSign(from) {
       // this.currentData = { ...row }
       this.currentData.IsBlind = from.IsBlind