diff --git a/src/views/trials/trials-panel/reading/dicoms/components/Questions.vue b/src/views/trials/trials-panel/reading/dicoms/components/Questions.vue
index 1d1e2940..a1d5bd0d 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/Questions.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/Questions.vue
@@ -703,10 +703,11 @@ export default {
             // 当前访视的垂直径≤130mm
             // 系统默认脾脏状态为“正常”
             status = '1'
-          } else if (this.spleenInfo.BaseLineSpleenLength > 130 && diffFromBaseline >= 10 && percentFormBaseline > 50) {
+          } else if (this.spleenInfo.BaseLineSpleenLength > 130 && diffFromBaseline >= 10 && percentFormBaseline > 50 && length > 130) {
             // 1、基线 垂直径>130 mm
             // 2、与基线相比脾垂直径变化值≥10 mm
             // 3、与基线相比脾肿大增加的百分比>50％
+            // 4、当前垂直径>130 mm
             // 系统默认脾脏状态为“显著增大”
             status = '4'
           } else if (this.spleenInfo.BaseLineSpleenLength <= 130 && diffFromBaseline >= 20 && length > 130) {
@@ -722,9 +723,10 @@ export default {
             // 4、当前垂直径>130 mm
             // 系统默认脾脏状态为“显著增大”
             status = '4'
-          } else if (this.spleenInfo.BaseLineState === '6' && percentFormBaseline < -50) {
+          } else if (this.spleenInfo.BaseLineState === '6' && percentFormBaseline < -50 && length > 130) {
             // 1、基线期 状态为“肿大”
             // 2、与基线相比脾肿大增加的百分比小于-50％
+            // 3、当前垂直径>130 mm
             // 系统默认脾脏状态为“部分缓解”
             status = '2'
           } else {