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 2213298..6d62974 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
@@ -999,15 +999,15 @@ public class InspectPatientController {
     @GetMapping("/getUSTj")
     @Operation(summary = "获取超声报告")
     public CommonResult<Boolean> GetApiPacsInfo(@RequestParam("medicalSn") String medicalSn) {
-        // 获取患者信息
-        InspectPatientDO patientDO = patientService.getPatientInfo(medicalSn);
-        if (patientDO == null) {
+        // 只获取shortid字段，提高查询性能
+        String shortid = patientService.getPatientShortid(medicalSn);
+        if (shortid == null) {
             return success(false);
         }
         
         ConfigDO config = configService.getConfigByKey("url.ustj");
         String url = config.getValue();
-        String response = HttpUtils.get(url + "?" + "examid=" + medicalSn + "&" + "orgSN=" + patientDO.getShortid());
+        String response = HttpUtils.get(url + "?" + "examid=" + medicalSn + "&" + "orgSN=" + shortid);
         if (response != null) {
             // 解析 JSON 响应
             ObjectMapper objectMapper = new ObjectMapper();
diff --git a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatient/InspectPatientService.java b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatient/InspectPatientService.java
index cfcf556..5469726 100644
--- a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatient/InspectPatientService.java
+++ b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatient/InspectPatientService.java
@@ -82,6 +82,11 @@ public interface InspectPatientService {
      * 根据体检编号获取患者信息的json
      * */
     InspectPatientDO getPatientInfo(String medicalSn);
+    
+    /*
+     * 根据体检编号只获取shortid字段
+     * */
+    String getPatientShortid(String medicalSn);
     /*
     * 更新患者的基本信息里的补充信息 高血压、老年人、行政村、卫生院、糖尿病、精神病
     * */
diff --git a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatient/InspectPatientServiceImpl.java b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatient/InspectPatientServiceImpl.java
index a908c0e..40721b7 100644
--- a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatient/InspectPatientServiceImpl.java
+++ b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatient/InspectPatientServiceImpl.java
@@ -174,6 +174,15 @@ public class InspectPatientServiceImpl implements InspectPatientService {
 
         return patientDO;
     }
+    
+    @Override
+    public String getPatientShortid(String medicalSn) {
+        LambdaQueryWrapper<InspectPatientDO> queryWrapper = new LambdaQueryWrapper<>();
+        queryWrapper.eq(InspectPatientDO::getMedicalSn, medicalSn)
+                   .select(InspectPatientDO::getShortid);
+        InspectPatientDO patientDO = patientMapper.selectOne(queryWrapper);
+        return patientDO != null ? patientDO.getShortid() : null;
+    }
     @Override
     public List<InspectPatientDO> getPatientdetails(PatientDetailsVO detailsVO) {
         LambdaQueryWrapper<InspectPatientDO> queryWrapper = new LambdaQueryWrapper<>();