diff --git a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/controller/admin/inspectpatient/InspectPatientController.java b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/controller/admin/inspectpatient/InspectPatientController.java
index e0ad08d..f5dfb95 100644
--- a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/controller/admin/inspectpatient/InspectPatientController.java
+++ b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/controller/admin/inspectpatient/InspectPatientController.java
@@ -672,6 +672,14 @@ public class InspectPatientController {
                     // 获取 pdfurl 和 pname
                     String pdfurl = (String) dataMap.get("pdfurl");
                     String pname = (String) dataMap.get("pname");
+                    String examDescription="";
+                    String diagResults="";
+                    if(dataMap.get("examDescription")!=null&&dataMap.get("diagResults")!=null)
+                    {
+                         examDescription = (String) dataMap.get("examDescription");
+                         diagResults = (String) dataMap.get("diagResults");
+                    }
+
                     // 检查 pdfurl 和 pname 是否为空
                     if (pdfurl != null && !pdfurl.isEmpty() && pname != null && !pname.isEmpty()) {
                         InspectPacsDataSaveReqVO inspectPacs = new InspectPacsDataSaveReqVO();
@@ -681,6 +689,17 @@ public class InspectPatientController {
                         inspectPacs.setPersonName(pname);
                         pacsDataService.createPacsData(inspectPacs);
                     }
+                    //更新超声所见所得
+                    if(examDescription!=null&&!examDescription.isEmpty()&&diagResults!=null&&!diagResults.isEmpty())
+                    {
+                        InspectPatientitemsSaveReqVO saveReqVO = new InspectPatientitemsSaveReqVO();
+                        saveReqVO.setMedicalSn(medicalSn);
+                        saveReqVO.setItemCode("US001");
+                        saveReqVO.setExamDescription(examDescription);
+                        saveReqVO.setItemResult(diagResults);
+                        patientitemsService.updateitemUSinference(saveReqVO);
+                    }
+
                 }
 
             } catch (IOException e) {
diff --git a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatientitems/InspectPatientitemsService.java b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatientitems/InspectPatientitemsService.java
index 25e3ce5..4e3903a 100644
--- a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatientitems/InspectPatientitemsService.java
+++ b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatientitems/InspectPatientitemsService.java
@@ -71,6 +71,11 @@ public interface InspectPatientitemsService {
     * */
     String Getanalyse(String medicalSn, String itemCode);
 
+    /*
+    * 根据体检编号和项目编号更新结论和所见
+    * */
+    void updateitemUSinference(InspectPatientitemsSaveReqVO saveReqVO);
+
     /**
      * 获得患者体检项目
      *
diff --git a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatientitems/InspectPatientitemsServiceImpl.java b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatientitems/InspectPatientitemsServiceImpl.java
index 251b584..74ff385 100644
--- a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatientitems/InspectPatientitemsServiceImpl.java
+++ b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatientitems/InspectPatientitemsServiceImpl.java
@@ -140,7 +140,16 @@ public class InspectPatientitemsServiceImpl implements InspectPatientitemsServic
 
         }
     }
-
+    @Override
+    public void updateitemUSinference(InspectPatientitemsSaveReqVO saveReqVO)
+    {
+        LambdaUpdateWrapper<InspectPatientitemsDO> updateWrapper = new LambdaUpdateWrapper<>();
+        updateWrapper.set(InspectPatientitemsDO::getItemResult, saveReqVO.getItemResult())
+                .set(InspectPatientitemsDO::getExamDescription, saveReqVO.getExamDescription())
+                .eq(InspectPatientitemsDO::getMedicalSn, saveReqVO.getMedicalSn())
+                .eq(InspectPatientitemsDO::getItemCode, saveReqVO.getItemCode());
+        patientitemsMapper.update(null, updateWrapper);
+    }
     @Override
     public InspectPatientitemsDO getPatientitems(Integer id) {
         return patientitemsMapper.selectById(id);