diff --git a/acupuncture-前台/src/views/medicalFile/index.vue b/acupuncture-前台/src/views/medicalFile/index.vue
index 5da075b3..7d576898 100644
--- a/acupuncture-前台/src/views/medicalFile/index.vue
+++ b/acupuncture-前台/src/views/medicalFile/index.vue
@@ -353,8 +353,8 @@
         width="200"
       >
         <template slot-scope="scope">
-          <!-- :disabled="scope.row.status == 1" -->
-          <!-- <el-button
+          <el-button
+            :disabled="scope.row.status != 0 && scope.row.status != 3"
             size="mini"
             type="text"
             icon="el-icon-edit"
@@ -363,6 +363,7 @@
             >修改</el-button
           >
           <el-button
+            :disabled="scope.row.status != 0 && scope.row.status != 3"
             size="mini"
             type="text"
             icon="el-icon-delete"
@@ -395,45 +396,6 @@
             v-hasPermi="['medicalFile:index:examine']"
           >
             提交审核
-          </el-button> -->
-          <el-button
-            :disabled="scope.row.status != 0 && scope.row.status != 3"
-            size="mini"
-            type="text"
-            icon="el-icon-edit"
-            @click="handleUpdate(scope.row)"
-            >修改</el-button
-          >
-          <el-button
-            :disabled="scope.row.status != 0 && scope.row.status != 3"
-            size="mini"
-            type="text"
-            icon="el-icon-delete"
-            @click="handleDelete(scope.row)"
-            >删除</el-button
-          >
-          <el-button
-            size="mini"
-            type="text"
-            icon="el-icon-tickets"
-            @click="handleDetails(scope.row)"
-            >档案详情</el-button
-          >
-          <el-button
-            size="mini"
-            type="text"
-            icon="el-icon-notebook-2"
-            @click="handleEecorde(scope.row)"
-            >随访记录</el-button
-          >
-          <el-button
-            :disabled="scope.row.status != 0 && scope.row.status != 3"
-            size="mini"
-            type="text"
-            icon="el-icon-s-promotion"
-            @click="handleExamine(scope.row, 1)"
-          >
-            提交审核
           </el-button>
           <!-- 审核 -->
           <el-button
@@ -442,6 +404,7 @@
             type="text"
             icon="el-icon-s-check"
             @click="handleExamine(scope.row, 2)"
+            v-hasPermi="['medicalFile:index:pass']"
           >
             通过
           </el-button>
@@ -451,6 +414,7 @@
             type="text"
             icon="el-icon-s-check"
             @click="handleExamine(scope.row, 3)"
+            v-hasPermi="['medicalFile:index:reject']"
           >
             驳回
           </el-button>