diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionFormItem.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionFormItem.vue
index 27154bff..e8115b57 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionFormItem.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionFormItem.vue
@@ -288,6 +288,7 @@ import QuestionTableFormItem from './QuestionTableFormItem'
 import BaseModel from '@/components/BaseModel'
 import PreviewFile from '@/components/PreviewFile/index'
 import { mapGetters } from 'vuex'
+import DicomEvent from '@/views/trials/trials-panel/reading/dicoms/components/DicomEvent'
 export default {
   name: 'QuestionFormItem',
   components: { QuestionTableFormItem, BaseModel, PreviewFile },
@@ -461,6 +462,16 @@ export default {
         })
       }
     }
+
+    DicomEvent.$on('openAddTableCol', (data) => {
+      let { RowId } = data
+      if (this.questionForm[this.question.Id] && Array.isArray(this.questionForm[this.question.Id]) && this.questionForm[this.question.Id].length > 0) {
+        let index = this.questionForm[this.question.Id].findIndex(item => item.RowId === RowId)
+        if (!!~index) {
+          this.openAddTableCol(this.question, index)
+        }
+      }
+    })
   },
   methods: {
     numberInput(id) {
@@ -694,7 +705,7 @@ export default {
         }
       }
       if (isExistUnSaved) {
-        if (this.addOrEdit.type = 'add') {
+        if (this.addOrEdit.type === 'add') {
           // 标记未保存是否确认关闭？ 
           const confirm = await this.$confirm(this.$t("dicom3D:CustomizeQuestionFormItem:confirm:markNoSaveAndclose"), {
             type: 'warning',
@@ -1193,7 +1204,7 @@ export default {
           }
         }
         if (isExistUnSaved) {
-          if (this.addOrEdit.type = 'add') {
+          if (this.addOrEdit.type === 'add') {
             //标记未保存是否确认关闭？ 
             const confirm = await this.$confirm(this.$t("dicom3D:CustomizeQuestionFormItem:confirm:markNoSaveAndclose"), {
               type: 'warning',
diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionList.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionList.vue
index 051eb25c..2527679b 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionList.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionList.vue
@@ -577,7 +577,7 @@ export default {
       try {
         const answers = [{ id: obj.question.Id, answer: this.questionForm[obj.question.Id] }]
         const markInfo = []
-
+        console.log(this.questionMarkInfoList, 'this.questionMarkInfoList')
         const index = this.questionMarkInfoList.findIndex(
           item => item.QuestionId === this.operateQuestionId
         )
@@ -604,6 +604,7 @@ export default {
           picturePath = pictureObj.isSuccess ? this.$getObjectName(pictureObj.result.url) : ''
           markInfo[0].PicturePath = picturePath
         }
+        markInfo[0].MarkId = annotation ? annotation.annotationUID : null
         await saveTaskQuestion(-10, {
           visitTaskId: this.visitTaskId,
           answers,
@@ -665,11 +666,12 @@ export default {
           QuestionType: 0,
           RowId: this.operateRowId,
           TableQuestionId: this.operateQuestionId,
-          RowIndex: obj.rowIndex
+          RowIndex: obj.rowIndex,
+          MarkId: annotation ? annotation.annotationUID : null
         }, -10)
         this.$set(this.questionsMarkStatus,
           `${this.operateRowId}_${this.operateQuestionId}`,
-          { isMarked: !!annotation, isSaved: true, OrderMarkName: annotation.data.label }
+          { isMarked: !!annotation, isSaved: true, OrderMarkName: annotation ? annotation.data.label : '' }
         )
         this.resetOperateState()
       } catch (e) {
@@ -719,6 +721,7 @@ export default {
       return index > -1 ? this.questionMarkInfoList[index].MeasureData : null
     },
     async bindAnnotationToQuestion(annotation) {
+      console.log(this.operateStateEnum, 'bindAnnotationToQuestion')
       try {
         const VALID_STATES = [null, 0, 1, 3]
         const currentState = this.operateStateEnum
@@ -729,32 +732,45 @@ export default {
           return this.handleNullState(annotation)
         }
         if (!this.operateQuestionId) return
-        if ([0, 3].includes(currentState)) {
+        if ([0, 1, 3].includes(currentState)) {
           // 该标记不能与问题绑定！
           if (!annotation.data.label || annotation.markTool !== this.imageTool) {
             let message = this.$t("dicom3D:CustomizeQuestionList:alert:markNoSaveToQuestion").replace("xxx", this.$t(`dicom3D:mark:${this.imageTool}`))
             this.$alert(message)
             return
           }
-          if (currentState === 3) {
-            const conflictIndex = this.questionMarkInfoList.findIndex(
-              item => item.MeasureData.annotationUID === annotation.annotationUID
-                && item.RowId !== this.operateRowId && this.operateRowId
-            )
-            if (conflictIndex > -1) {
-              //该标记已绑定到其他行，不能更改绑定！
-              this.$alert(this.$t("dicom3D:CustomizeQuestionList:alert:markIsbind"))
-              return
-            }
+          // if (currentState === 3) {
+          let conflictIndex = this.questionMarkInfoList.findIndex(
+            item => item.MeasureData.annotationUID === annotation.annotationUID
+              && item.RowId !== this.operateRowId && item.RowId
+          )
+          // && this.operateRowId
+          console.log(conflictIndex)
+          if (conflictIndex > -1) {
+            //该标记已绑定到其他行，不能更改绑定！
+            this.$alert(this.$t("dicom3D:CustomizeQuestionList:alert:markIsbind"))
+            return
           }
+          conflictIndex = this.questionMarkInfoList.findIndex(
+            item => item.MeasureData.annotationUID === annotation.annotationUID
+              && !item.TableQuestionId && this.isTableQuestion
+          )
+          if (conflictIndex > -1) {
+            //该标记已绑定到外层问题，不能更改绑定！
+            this.$alert(this.$t("dicom3D:CustomizeQuestionList:alert:markIsbind2"))
+            return
+          }
+          // }
           // 是否确认绑定？ 是否确认更改？
-          const message = currentState === 0 ? this.$t("dicom3D:CustomizeQuestionList:confirm:bindYesOrNo") : this.$t("dicom3D:CustomizeQuestionList:confirm:updateYesOrNo")
-          const result = await this.$confirm(message, {
-            type: 'warning',
-            distinguishCancelAndClose: true
-          })
-          const isConfirmed = result === 'confirm'
-          if (!isConfirmed) return
+          const message = currentState === 0 ? this.$t("dicom3D:CustomizeQuestionList:confirm:bindYesOrNo") : currentState === 3 ? this.$t("dicom3D:CustomizeQuestionList:confirm:updateYesOrNo") : null
+          if (message) {
+            const result = await this.$confirm(message, {
+              type: 'warning',
+              distinguishCancelAndClose: true
+            })
+            const isConfirmed = result === 'confirm'
+            if (!isConfirmed) return
+          }
         }
         const targetIndex = this.findTargetIndex()
         if (targetIndex === -1) {
@@ -885,6 +901,9 @@ export default {
         qsArr.push({ ...item })
         const keyId = item.RowId ? `${item.RowId}_${item.TableQuestionId}` : item.TableQuestionId;
         this.$set(this.questionsMarkStatus, keyId, questionMarkInfo);
+        if (item.RowId) {
+          DicomEvent.$emit('openAddTableCol', { RowId: item.RowId })
+        }
       }
       if (qsArr.length > 0) {
         store.dispatch('dicom3d/setOperateInfo', qsArr);
@@ -926,7 +945,7 @@ export default {
         if ((TableQuestionId && QuestionId === questionId && markTableQuestions.includes(TableQuestionId)) && !RowId) {
           if (questionsMarkStatus && questionsMarkStatus[TableQuestionId]) {
             delete questionsMarkStatus[TableQuestionId]
-          }else {
+          } else {
             return item
           }
         } else {