diff --git a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/controller/admin/inspectpacsdata/InspectPacsDataController.java b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/controller/admin/inspectpacsdata/InspectPacsDataController.java
index 0a196cc..f88c2c9 100644
--- a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/controller/admin/inspectpacsdata/InspectPacsDataController.java
+++ b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/controller/admin/inspectpacsdata/InspectPacsDataController.java
@@ -54,7 +54,13 @@ public class InspectPacsDataController {
         pacsDataService.updatePacsData(updateReqVO);
         return success(true);
     }
-
+    @PutMapping("/updatePacsDataitem")
+    @Operation(summary = "更新pacs抓取数据对应项的item")
+    public  CommonResult<Boolean> updatePacsDataitem(@Valid @RequestBody InspectPacsDataSaveReqVO updateReqVO)
+    {
+        pacsDataService.updatePacsDataitem(updateReqVO);
+        return success(true);
+    }
     @DeleteMapping("/delete")
     @Operation(summary = "删除pacs抓取数据")
     @Parameter(name = "id", description = "编号", required = true)
diff --git a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpacsdata/InspectPacsDataService.java b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpacsdata/InspectPacsDataService.java
index 9dba36b..6419fc7 100644
--- a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpacsdata/InspectPacsDataService.java
+++ b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpacsdata/InspectPacsDataService.java
@@ -40,6 +40,10 @@ public interface InspectPacsDataService {
      * @param id 编号
      */
     void deletePacsData(Integer id);
+    /*
+    * 根据体检编号更新pacsdata表的item字段
+    * */
+    void updatePacsDataitem(InspectPacsDataSaveReqVO updateReqVO);
 
     /**
      * 获得pacs抓取数据
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 49abda8..6d31ff7 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
@@ -1,6 +1,7 @@
 package cn.iocoder.yudao.module.inspect.service.inspectpacsdata;
 
 import com.baomidou.mybatisplus.core.conditions.query.QueryWrapper;
+import com.baomidou.mybatisplus.core.conditions.update.LambdaUpdateWrapper;
 import org.springframework.stereotype.Service;
 import org.springframework.validation.annotation.Validated;
 
@@ -61,7 +62,15 @@ public class InspectPacsDataServiceImpl implements InspectPacsDataService {
         // 删除
         pacsDataMapper.deleteById(id);
     }
-
+    @Override
+    public  void updatePacsDataitem(InspectPacsDataSaveReqVO updateReqVO)
+    {
+        LambdaUpdateWrapper<InspectPacsDataDO> updateWrapper = new LambdaUpdateWrapper<>();
+        updateWrapper.eq(InspectPacsDataDO::getCode, updateReqVO.getCode())
+                .eq(InspectPacsDataDO::getType, updateReqVO.getType())
+                .set(InspectPacsDataDO::getItem, updateReqVO.getItem());
+        pacsDataMapper.update(null, updateWrapper);
+    }
     private void validatePacsDataExists(Integer id) {
         if (pacsDataMapper.selectById(id) == null) {