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 796210b..bc37c31 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
@@ -452,6 +452,11 @@ public class InspectPatientController {
                     }
                     break;
             }
+            //查询是否已经存在记录 存在则不进行同步操作
+          if(pacsDataService.IspacsDataExist(medicalSn, model))
+          {
+              return success(true);
+          }
             ConfigDO config = configService.getConfigByKey("url.reporttj");
             String url = config.getValue();
             String response = HttpUtils.get(url + "?" + "barCode=" + barCode + "&" + "hospitalCode=" + patientDO.getHospitalNo());
@@ -473,21 +478,25 @@ public class InspectPatientController {
                             inspectPacs.setData(reportPath);
                             inspectPacs.setType(model);
                             inspectPacs.setPersonName(patientDO.getPName());
-                            // 获取 results 数组并遍历
-                            List<ResultItem> results = reportData.getResults();
-                            for (ResultItem result : results) {
-                                // 判断 Item Tips 并输出相应的结果
-                                String itemTips = result.getItemTips();
-                                String tipsDescription = "";
-                                if ("1".equals(itemTips)) {
-                                    tipsDescription = "偏低";
-                                } else if ("4".equals(itemTips)) {
-                                    tipsDescription = "偏高";
-                                }
+                            if(reportData.getResults()!=null&&reportData.getResults().size()>0)
+                            {
+                                // 获取 results 数组并遍历
+                                List<ResultItem> results = reportData.getResults();
+                                for (ResultItem result : results) {
+                                    // 判断 Item Tips 并输出相应的结果
+                                    String itemTips = result.getItemTips();
+                                    String tipsDescription = "";
+                                    if ("1".equals(itemTips)) {
+                                        tipsDescription = "偏低";
+                                    } else if ("4".equals(itemTips)) {
+                                        tipsDescription = "偏高";
+                                    }
 
-                                sb.append(result.getItemName() + ":" + result.getItemValue() + result.getItemUnit() + ","+"正常范围："+result.getReferenceRange()+","+"提示："+tipsDescription+"。"+"\n");
+                                    sb.append("【"+result.getItemName() +"："+tipsDescription+" ,结果:" + result.getItemValue() + result.getItemUnit() +","+"参考值("+result.getReferenceRange()+ ")】"+"\n");
+                                }
+                                inspectPacs.setItem(sb.toString());
                             }
-                            inspectPacs.setItem(sb.toString());
+
                             pacsDataService.createPacsData(inspectPacs);
                         }
 
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 0271d3d..9dba36b 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
@@ -53,6 +53,11 @@ public interface InspectPacsDataService {
     * 根据体检编号获取pacs数据
     * */
     List<InspectPacsDataDO> GetpacsData(String code);
+    /*
+    *
+    * 根据体检编号和类型判断是否存在pacs数据
+    * */
+    Boolean IspacsDataExist(String code, String type);
 
     /**
      * 获得pacs抓取数据分页
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 777f9e0..49abda8 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
@@ -79,6 +79,15 @@ public class InspectPacsDataServiceImpl implements InspectPacsDataService {
         queryWrapper.eq("code", code);
         return pacsDataMapper.selectList(queryWrapper);
     }
+    @Override
+    public  Boolean IspacsDataExist(String code,String type) {
+
+        QueryWrapper<InspectPacsDataDO> queryWrapper = new QueryWrapper<>();
+        queryWrapper.eq("code", code);
+        queryWrapper.eq("type", type);
+        return pacsDataMapper.selectList(queryWrapper).size()>0? true:false;
+    }
+
     @Override
     public PageResult<InspectPacsDataDO> getPacsDataPage(InspectPacsDataPageReqVO pageReqVO) {
         return pacsDataMapper.selectPage(pageReqVO);