diff --git a/src/views/dicomForm/dicomViewForm.vue b/src/views/dicomForm/dicomViewForm.vue
index 8c14c1ad..2e54266e 100644
--- a/src/views/dicomForm/dicomViewForm.vue
+++ b/src/views/dicomForm/dicomViewForm.vue
@@ -6,7 +6,7 @@
     :fullscreen="true"
   >
     <el-tabs v-model="activeName" type="card">
-      <el-tab-pane label="影像" name="first">
+      <el-tab-pane v-if="tagLoaded" label="影像" name="first">
         <iframe
           v-if="dataLoaded"
           frameborder="0"
@@ -19,7 +19,7 @@
         <!-- 外层 Flex 容器 -->
         <div style="display: flex; height: 100%">
           <!-- 模版区域 -->
-          <div style="flex: 1; min-width: 0;overflow: auto;">
+          <div style="flex: 1; min-width: 0; overflow: auto">
             <el-select
               v-model="fordevicemValue"
               placeholder="请选择模版类别"
@@ -132,7 +132,6 @@
                     />
                   </el-form-item>
                 </el-col>
-              
 
                 <el-col :span="7">
                   <el-form-item label="申请时间" style="font-weight: bold" label-width="110px">
@@ -166,7 +165,7 @@
             <el-divider />
             <el-input
               v-model="applyFormVO.examItemName"
-              style="width: 95%; font-size: 20px; margin-left: 40px; margin-bottom: 6px; "
+              style="width: 95%; font-size: 20px; margin-left: 40px; margin-bottom: 6px"
               :rows="1"
               :disabled="true"
             />
@@ -239,7 +238,15 @@
               <el-button
                 type="success"
                 plain
-                style="width: 80px; float: right; margin-right: 15px; margin-top: 30px ;background-color: rgba(56, 119, 246, 1);font-size: 14; color: rgb(255, 255, 255);" 
+                style="
+                  width: 80px;
+                  float: right;
+                  margin-right: 15px;
+                  margin-top: 30px;
+                  background-color: rgba(56, 119, 246, 1);
+                  font-size: 14;
+                  color: rgb(255, 255, 255);
+                "
                 @click="save"
                 :disabled="savedisabled"
                 >保存</el-button
@@ -249,7 +256,15 @@
                 type="primary"
                 plain
                 v-show="examinedisabled"
-                style="width: 80px; float: right; margin-right: 15px; margin-top: 30px ;background-color: rgba(56, 119, 246, 1);font-size: 14; color: rgb(255, 255, 255);" 
+                style="
+                  width: 80px;
+                  float: right;
+                  margin-right: 15px;
+                  margin-top: 30px;
+                  background-color: rgba(56, 119, 246, 1);
+                  font-size: 14;
+                  color: rgb(255, 255, 255);
+                "
                 @click="examine"
                 >审核</el-button
               >
@@ -297,6 +312,7 @@ const examineFormVO = ref<PatientexamlistVO>({} as PatientexamlistVO)
 const savedisabled = ref(true) //保存按钮是否可用
 const examinedisabled = ref(false) //审核按钮是否可见
 const dataLoaded = ref(false) //是否加载网页
+const tagLoaded = ref(true) //是否加载影像标签
 
 //点击节点更新使用时间
 const clickuptime = async (pid: string) => {
@@ -497,15 +513,19 @@ const examid = ref('')
 const newSrc = ref('')
 
 /** 打开弹窗 */
-const open = async (
-  id: number,
-  orgid: string,
-  regid: string,
-  examId: string
-) => {
+const open = async (id: number, orgid: string, regid: string, examId: string, isLoaded: string) => {
   resetForm()
 
-
+  //判断是否隐藏影像标签
+  if (isLoaded == '1') {
+    tagLoaded.value = false
+    activeName.value='second'
+  }
+  else
+  {
+    tagLoaded.value = true
+     activeName.value='first'
+  }
   console.log('orgid' + orgid)
   console.log('regid' + regid)
   console.log('id' + id)
@@ -537,9 +557,9 @@ const open = async (
     getlogininfo()
     iframeData()
     // 延迟1秒后加载iframe
-  setTimeout(() => {
-    dataLoaded.value= true; // 确保iframe只在弹窗打开时加载
-  }, 200);
+    setTimeout(() => {
+      dataLoaded.value = true // 确保iframe只在弹窗打开时加载
+    }, 200)
   } finally {
     formLoading.value = false
   }
@@ -553,26 +573,25 @@ const iframeData = async () => {
       var localData = {
         regid: '', // 这里的 'someNumber' 应该替换为实际的数值
         orgId: '', // 这里的 'someOrgId' 应该替换为实际的组织ID
-        maxSize:10,
+        maxSize: 10,
         do: response
       }
 
-      // 在存入新数据之前，先删除原有的'data'项 
-      localStorage.removeItem("data");
+      // 在存入新数据之前，先删除原有的'data'项
+      localStorage.removeItem('data')
       // 将对象转换为JSON字符串
       var localStorageData = JSON.stringify(localData)
       localStorage.setItem('data', localStorageData)
       const Src = `/static/dicom/dicomViewPc1.html?t=${new Date().getTime()}`
-       newSrc.value = Src
+      newSrc.value = Src
     } else {
       // 如果status不是success，可以根据需要处理错误情况
       console.error('Request did not succeed:', response.data)
-      
     }
-   // dataLoaded.value = true // 请求完成后，无论成功与否，都设置dataLoaded为true
+    // dataLoaded.value = true // 请求完成后，无论成功与否，都设置dataLoaded为true
   } catch (error) {
     console.error('Error fetching data:', error)
-   // dataLoaded.value = true // 即使发生错误，也设置dataLoaded为true，以便可以显示错误信息
+    // dataLoaded.value = true // 即使发生错误，也设置dataLoaded为true，以便可以显示错误信息
   }
 }
 
diff --git a/src/views/tblist/patientexamlist/index.vue b/src/views/tblist/patientexamlist/index.vue
index e472c657..4186cb1b 100644
--- a/src/views/tblist/patientexamlist/index.vue
+++ b/src/views/tblist/patientexamlist/index.vue
@@ -258,7 +258,7 @@
         width="180px"
         v-if="false"
       />
-      <el-table-column label="操作" align="center" fixed="right">
+      <el-table-column label="操作" align="center" fixed="right" width="180px">
         <template #default="scope">
           <el-button
             link
@@ -274,6 +274,25 @@
             <el-icon v-if="scope.row.isFavourite==='1'"><StarFilled /></el-icon>
             <el-icon v-else><Star /></el-icon>
           </el-button>
+          <el-button
+            link
+            style="color: rgb(56, 119, 246)"
+            size="small"
+            type="primary"
+            @click="openexe(scope.row.id,scope.row.orgId,scope.row.regId,scope.row.examId)"
+          >
+            调图
+          </el-button>
+          <el-button
+            link
+            style="color: rgb(56, 119, 246)"
+            size="small"
+            type="primary"
+            @click=" handleEdit(scope.row,'1')"
+          >
+            报告
+          </el-button>
+         
         </template>
       </el-table-column>
     </el-table>
@@ -296,6 +315,7 @@ import download from '@/utils/download'
 import { PatientexamlistApi, PatientexamlistVO } from '@/api/tblist/patientexamlist'
 import PatientexamlistForm from './PatientexamlistForm.vue'
 import DicomViewForm from '/src/views/dicomForm/dicomViewForm.vue'
+import { ultrasoniccomApi } from '@/api/ultrasoniccom'
 
 /** PACS检查列表 列表 */
 defineOptions({ name: 'Patientexamlist' })
@@ -340,17 +360,17 @@ const exportLoading = ref(false) // 导出的加载中
 /** 影像组件 */
 const dicomViewRef = ref()
 
-const opendicomViewFrom = (id: number, orgid: string, regid: string, examId: string) => {
-  dicomViewRef.value.open(id, orgid, regid, examId)
+const opendicomViewFrom = (id: number, orgid: string, regid: string, examId: string,isLoaded:string) => {
+  dicomViewRef.value.open(id, orgid, regid, examId,isLoaded)
 }
 /** 表格行点击 */
 const clickNumber = ref(0)
-function handleEdit(row) {
+function handleEdit(row,isLoaded:string) {
   console.log(111111121212)
 
   if (!row.deviceType.includes('US')) {
     //US是超声类
-    opendicomViewFrom(row.id, row.orgId, row.regId, row.examId)
+    opendicomViewFrom(row.id, row.orgId, row.regId, row.examId,isLoaded)
 
     /*  clickNumber.value++;
   if (clickNumber.value == 2) {
@@ -501,6 +521,22 @@ const getuporghiorgid = async (id: number, orgId: string, reportstatus: string)
     }
   } catch {}
 }
+// 打开本地exe  通过注册表
+const openexe= (id: number, orgid: string, regid: string, examId: string)=>
+{
+console.log(orgid)
+  // 先查询数据
+  try {
+    const url = `f1://${examId+','+orgid+','+regid}`;
+    console.log(url)
+    window.location.href = url
+
+  } catch (error) {
+    console.error('Error fetching data:', error)
+
+  }
+}
+
 
 /** 删除按钮操作 */
 const handleDelete = async (id: number) => {