diff --git a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpacsdata/InspectPacsDataServiceImpl.java b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpacsdata/InspectPacsDataServiceImpl.java
index bfb4b26..48769fa 100644
--- a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpacsdata/InspectPacsDataServiceImpl.java
+++ b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpacsdata/InspectPacsDataServiceImpl.java
@@ -102,7 +102,7 @@ public class InspectPacsDataServiceImpl implements InspectPacsDataService {
         QueryWrapper<InspectPacsDataDO> queryWrapper = new QueryWrapper<>();
         queryWrapper.eq("code", code)
                 .eq("type", type)
-                .isNotNull("item");
+                .and(wrapper -> wrapper.isNotNull("item").or().ne("item", ""));
         return pacsDataMapper.selectCount(queryWrapper) > 0;
     }
     @Override