diff --git a/src/views/trials/trials-panel/visit/qc-check/components/qualityAssurance.vue b/src/views/trials/trials-panel/visit/qc-check/components/qualityAssurance.vue
index 8b8e4f14..2b329033 100644
--- a/src/views/trials/trials-panel/visit/qc-check/components/qualityAssurance.vue
+++ b/src/views/trials/trials-panel/visit/qc-check/components/qualityAssurance.vue
@@ -53,6 +53,14 @@
                 style="margin-left: 10px" @click="getCRCUploadedStudyInfo('dicom')">
                 {{ $t('trials:audit:button:downLoadAllDiocms') }}
               </el-button>
+              <!-- 下载阅片影像 -->
+              <el-button v-if="
+                IsSupportQCDownloadImage &&
+                !hasPermi(['role:spm'])
+              " :loading="downloading" :disabled="selectTableDicom.length <= 0" size="small" type="primary"
+                style="margin-left: 10px" @click="getCRCUploadedStudyInfo('dicom', true)">
+                {{ $t('trials:audit:button:downLoadReadingDiocms') }}
+              </el-button>
               <!-- 下载工具 -->
               <el-button v-if="
                 IsSupportQCDownloadImage &&
@@ -267,6 +275,14 @@
                 style="margin-left: 10px" @click="getCRCUploadedStudyInfo('noneDicom')">
                 {{ $t('trials:audit:button:downLoadAllNonDiocms') }}
               </el-button>
+              <!-- 下载阅片影像 -->
+              <el-button v-if="
+                IsSupportQCDownloadImage &&
+                !hasPermi(['role:spm'])
+              " :loading="downloading" :disabled="selectTableNonedicom.length <= 0" size="small" type="primary"
+                style="margin-left: 10px" @click="getCRCUploadedStudyInfo('noneDicom', true)">
+                {{ $t('trials:audit:button:downLoadReadingNonDiocms') }}
+              </el-button>
               <!-- 预览 -->
               <el-button size="small" :disabled="noneDicomStudyList.length === 0" type="primary"
                 style="margin-left: 10px" @click="handleViewAllNoneDicoms(false)">
@@ -1153,13 +1169,14 @@ export default {
       this.selectTableNonedicom = val
     },
     // 获取下载文件信息
-    async getCRCUploadedStudyInfo(type) {
+    async getCRCUploadedStudyInfo(type, isReading = null) {
       if (this.downloading) return
       try {
         let data = {
           SubjectVisitId: this.data.Id,
           NoneDicomStudyIdList: [],
           DicomStudyIdList: [],
+          IsExportReading: isReading
         }
         if (type === 'tools') {
           return this.handleDownload()