diff --git a/src/Shentun.ColumnReferencePlugIns/ImportPacsResultPlugInsBase.cs b/src/Shentun.ColumnReferencePlugIns/ImportPacsResultPlugInsBase.cs
index 6b9b084..3d99400 100644
--- a/src/Shentun.ColumnReferencePlugIns/ImportPacsResultPlugInsBase.cs
+++ b/src/Shentun.ColumnReferencePlugIns/ImportPacsResultPlugInsBase.cs
@@ -71,8 +71,7 @@ where
           patient_register.complete_flag = '1' or 
           patient_register.complete_flag = '2') and
           patient_register.medical_center_id =@MedicalCenterId and
-      patient_register.medical_start_date >@StartDate and
-      register_check.creation_time >@StartDate
+      patient_register.medical_start_date >@StartDate 
 ORDER BY register_check.patient_register_id
                       ";
                 var patientRegisterForLisRequests = (await conn.QueryAsync<PatientRegisterForLisRequest>(sql,