diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/CancerScreeningFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/CancerScreeningFacade.java
index 19a065b..5e8035e 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/CancerScreeningFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/CancerScreeningFacade.java
@@ -33,6 +33,7 @@ import org.apache.commons.lang.StringUtils;
 import org.apache.commons.lang.math.NumberUtils;
 import org.springframework.beans.*;
 import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.data.domain.Sort;
 import org.springframework.data.mongodb.core.MongoTemplate;
 import org.springframework.data.mongodb.core.query.Criteria;
 import org.springframework.data.mongodb.core.query.Query;
@@ -376,17 +377,27 @@ public class CancerScreeningFacade {
             cancerScr.setOperator(id);
             cancerScr.setIsSync(1);
             cancerScreenService.updateOneCancerScreen(cancerScr, cancerScr.getId());
-            //修改乳腺癌追访
-            BreastAfterVisitQuery breastAfterVisitQuery=new BreastAfterVisitQuery();
-            breastAfterVisitQuery.setYn(1);
-            breastAfterVisitQuery.setQueryNo(cancerScr.getCertificateNum());
-            List<BreastAfterVisitModel> breastAfterVisitModels = breastAfterVisitService.queryBreastAfterVisitList(breastAfterVisitQuery);
-            if(CollectionUtils.isNotEmpty(breastAfterVisitModels)){
-                //如果多次检查不需要新增追访信息，更新之前信息
-                cancerScr.setId(breastAfterVisitModels.get(0).getParentId());
-                breastAfterVisitAdd(cancerScr,2);
-            }else {
-                breastAfterVisitAdd(cancerScr,1);
+            //修改之前检查记录不能影像最后一次检查记录的追访信息(因为只会有一条追访，记录的是最后一次检查的追访信息)
+            Query query=new Query();
+            Criteria criteria = Criteria.where("residentId").is(cancerScr.getResidentId());
+            query.addCriteria(criteria);
+            query.with(new Sort(Sort.Direction.DESC, "created"));
+            List<CancerScreeningModel> models = mongoTemplate.find(query, CancerScreeningModel.class);
+            if(models.size()>1){
+                if (models.get(0).getId().equals(cancerScr.getId())) {
+                    //修改乳腺癌追访
+                    BreastAfterVisitQuery breastAfterVisitQuery=new BreastAfterVisitQuery();
+                    breastAfterVisitQuery.setYn(1);
+                    breastAfterVisitQuery.setQueryNo(cancerScr.getCertificateNum());
+                    List<BreastAfterVisitModel> breastAfterVisitModels = breastAfterVisitService.queryBreastAfterVisitList(breastAfterVisitQuery);
+                    if(CollectionUtils.isNotEmpty(breastAfterVisitModels)){
+                        //如果多次检查不需要新增追访信息，更新之前信息
+                        cancerScr.setId(breastAfterVisitModels.get(0).getParentId());
+                        breastAfterVisitAdd(cancerScr,2);
+                    }else {
+                        breastAfterVisitAdd(cancerScr,1);
+                    }
+                }
             }
             return new BaseResponse("成功", ErrorCodeConstants.SUCCESS);
         } catch (Exception e) {
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/CervicalCancerServiceImpl.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/CervicalCancerServiceImpl.java
index da1c2fa..7a88c2f 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/CervicalCancerServiceImpl.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/CervicalCancerServiceImpl.java
@@ -108,17 +108,27 @@ public class CervicalCancerServiceImpl implements CervicalCancerService {
             Update update = MongoConvertHelper
                     .convertToNativeUpdate(ReflectionUtils.getUpdateField(param));
             mongoTemplate.updateFirst(query, update, CervicalCancerModel.class);
-            //添加宫颈癌追访
-            CervixVisitQuery cervixVisitQuery=new CervixVisitQuery();
-            cervixVisitQuery.setYn(1);
-            cervixVisitQuery.setQueryNo(param.getIdCardNo());
-            List<CervixVisitModel> cervixVisitModels = cervixVisitService.queryCervixVisitList(cervixVisitQuery);
-            if(CollectionUtils.isNotEmpty(cervixVisitModels)){
-                //如果多次检查不需要新增追访信息，更新之前信息
-                param.setId(cervixVisitModels.get(0).getParentId());
-                cervixVisitAdd(param,2);
-            }else {
-                cervixVisitAdd(param,1);
+            //修改之前检查记录不能影像最后一次检查记录的随访信息（因为只会有一条随访，记录的是最后一次检查的随访信息）
+            Query query2=new Query();
+            Criteria criteria = Criteria.where("parentId").is(param.getParentId());
+            query2.addCriteria(criteria);
+            query2.with(new Sort(Sort.Direction.DESC, "created"));
+            List<CervicalCancerModel> models = mongoTemplate.find(query2, CervicalCancerModel.class);
+            if(models.size()>1){
+                if (models.get(0).getId().equals(param.getId())) {
+                    //添加宫颈癌追访
+                    CervixVisitQuery cervixVisitQuery=new CervixVisitQuery();
+                    cervixVisitQuery.setYn(1);
+                    cervixVisitQuery.setQueryNo(param.getIdCardNo());
+                    List<CervixVisitModel> cervixVisitModels = cervixVisitService.queryCervixVisitList(cervixVisitQuery);
+                    if(CollectionUtils.isNotEmpty(cervixVisitModels)){
+                        //如果多次检查不需要新增追访信息，更新之前信息
+                        param.setId(cervixVisitModels.get(0).getParentId());
+                        cervixVisitAdd(param,2);
+                    }else {
+                        cervixVisitAdd(param,1);
+                    }
+                }
             }
             return new BaseResponse("成功", ErrorCodeConstants.SUCCESS);
         } catch (Exception e) {
@@ -209,7 +219,6 @@ public class CervicalCancerServiceImpl implements CervicalCancerService {
             }
         }
         query.with(new Sort(Sort.Direction.DESC, "created"));
-        System.out.println(query.toString());
         long count = mongoTemplate.count(query, CervicalCancerModel.class);
         param.mysqlBuild((int) count);
         query.skip(param.getOffset()).limit(param.getLimit());