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 ed9fff37..f908acdf 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
@@ -8,7 +8,9 @@
       style="font-weight: bold;font-size: 14px;margin: 5px 0px;">
       <div style="display: flex;justify-content: space-between;align-items: center;color:#fff;margin: 10px 0 5px">
         <span :title="question.Remark">{{ question.QuestionName }}</span>
-        <el-button size="mini" v-if="readingTaskState < 2 && !question.IsPreinstall" @click="openAddTableCol(question)">
+        <el-button size="mini"
+          v-if="readingTaskState < 2 && !question.IsPreinstall && (question.AddDeleteTypeEnum === 0 || (isBaseline && question.AddDeleteTypeEnum === 1) || (!isBaseline && question.AddDeleteTypeEnum === 2))"
+          @click="openAddTableCol(question)">
           {{ $t('common:button:add') }}
         </el-button>
       </div>
@@ -43,7 +45,7 @@
               {{ question.IsPreinstall ? $t('CustomizeQuestionFormItem:button:assessment') : $t('common:button:edit') }}
             </el-button>
             <el-button type="text" size="mini" :disabled="addOrEdit.visible"
-              v-if="(scope.row.IsCurrentTaskAdd === 'True' || !question.IsCopyLesions || isBaseline) && !question.IsPreinstall"
+              v-if="(scope.row.IsCurrentTaskAdd === 'True' || !question.IsCopyLesions || isBaseline) && !question.IsPreinstall && (question.AddDeleteTypeEnum === 0 || (isBaseline && question.AddDeleteTypeEnum === 1) || (!isBaseline && question.AddDeleteTypeEnum === 2))"
               @click="deleteTableCol(question, scope.$index)">
               {{ $t('common:button:delete') }}
             </el-button>
diff --git a/src/views/trials/trials-panel/setting/reading-unit/components/QuestionsForm.vue b/src/views/trials/trials-panel/setting/reading-unit/components/QuestionsForm.vue
index c4314bda..a889039f 100644
--- a/src/views/trials/trials-panel/setting/reading-unit/components/QuestionsForm.vue
+++ b/src/views/trials/trials-panel/setting/reading-unit/components/QuestionsForm.vue
@@ -318,6 +318,17 @@
           ]">
           <el-input-number v-model="form.MaxAnswerLength" :min="0"></el-input-number>
         </el-form-item>
+        <!-- 手动增/删记录 -->
+        <el-form-item v-if="form.Type === 'table' || form.Type === 'basicTable'"
+          :label="$t('trials:readingUnit:qsList:title:AddDeleteTypeEnum')" prop="AddDeleteTypeEnum" :rules="[
+            { required: true, message: this.$t('common:ruleMessage:specify'), trigger: 'blur' }
+          ]">
+          <el-radio-group v-model="form.AddDeleteTypeEnum">
+            <el-radio v-for="item of $d.AddDeleteType" :key="item.id" :label="item.value">
+              {{ item.label }}
+            </el-radio>
+          </el-radio-group>
+        </el-form-item>
         <!-- 最大行数 -->
         <el-form-item v-if="form.Type === 'table' || form.Type === 'basicTable'"
           :label="$t('trials:readingUnit:qsList:title:maxQuestionCount')" prop="MaxQuestionCount" :rules="[
@@ -765,6 +776,7 @@ export default {
         MaxQuestionCount: null,
         IsCopyLesions: false,
         MaxAnswerLength: null,
+        AddDeleteTypeEnum: null,
         FileType: [],
         DictionaryCode: null,
         GroupId: null,
@@ -1291,6 +1303,7 @@ export default {
       } else {
         form.ClassifyEditType = null
       }
+      form.AddDeleteTypeEnum = 0
       form.IsRequired = 2
       form.LesionType = null
       form.ImageCount = 0