diff --git a/src/main/java/com/example/caseData/controller/CaseClinicalArticleController.java b/src/main/java/com/example/caseData/controller/CaseClinicalArticleController.java
index 316acca..c321d67 100644
--- a/src/main/java/com/example/caseData/controller/CaseClinicalArticleController.java
+++ b/src/main/java/com/example/caseData/controller/CaseClinicalArticleController.java
@@ -315,14 +315,16 @@ public class CaseClinicalArticleController {
             dto.setUserIden(null);
 
             // 获取次级评论
-            if (dto.getRootId() == null){
-                List<UserCommentClinicalArticleDto> subComments = userCommentClinicalArticleDao.getClinicalArticleCommentList(
-                        dto.getArticleId(),
-                        dto.getCommentId(),
-                        5
-                );
+            if (request.getIsHaveSubComment() == 1){
+                if (dto.getRootId() == null){
+                    List<UserCommentClinicalArticleDto> subComments = userCommentClinicalArticleDao.getClinicalArticleCommentList(
+                            dto.getArticleId(),
+                            dto.getCommentId(),
+                            5
+                    );
 
-                dto.setSubComment(subComments);
+                    dto.setSubComment(subComments);
+                }
             }
         }
 
diff --git a/src/main/java/com/example/caseData/controller/CaseClinicalVideoController.java b/src/main/java/com/example/caseData/controller/CaseClinicalVideoController.java
index e3ce9f5..688e049 100644
--- a/src/main/java/com/example/caseData/controller/CaseClinicalVideoController.java
+++ b/src/main/java/com/example/caseData/controller/CaseClinicalVideoController.java
@@ -7,6 +7,7 @@ import com.example.caseData.common.Response;
 import com.example.caseData.dao.*;
 import com.example.caseData.dto.T;
 import com.example.caseData.dto.caseClinicalVideo.CaseClinicalVideoDto;
+import com.example.caseData.dto.userCommentClinicalArticle.UserCommentClinicalArticleDto;
 import com.example.caseData.dto.userCommentClinicalVideo.UserCommentClinicalVideoDto;
 import com.example.caseData.exception.BusinessException;
 import com.example.caseData.model.*;
@@ -313,14 +314,16 @@ public class CaseClinicalVideoController {
             dto.setUserIden(null);
 
             // 获取次级评论
-            if (dto.getRootId() == null){
-                List<UserCommentClinicalVideoDto> subComments = userCommentClinicalVideoDao.getClinicalVideoCommentList(
-                        dto.getVideoId(),
-                        dto.getCommentId(),
-                        5
-                );
+            if (request.getIsHaveSubComment() == 1){
+                if (dto.getRootId() == null){
+                    List<UserCommentClinicalVideoDto> subComments = userCommentClinicalVideoDao.getClinicalVideoCommentList(
+                            dto.getVideoId(),
+                            dto.getCommentId(),
+                            5
+                    );
 
-                dto.setSubComment(subComments);
+                    dto.setSubComment(subComments);
+                }
             }
         }
 
diff --git a/src/main/java/com/example/caseData/request/CaseClinicalArticleRequest/getClinicalArticleCommentPage.java b/src/main/java/com/example/caseData/request/CaseClinicalArticleRequest/getClinicalArticleCommentPage.java
index 9afdf8f..116a0e0 100644
--- a/src/main/java/com/example/caseData/request/CaseClinicalArticleRequest/getClinicalArticleCommentPage.java
+++ b/src/main/java/com/example/caseData/request/CaseClinicalArticleRequest/getClinicalArticleCommentPage.java
@@ -29,6 +29,10 @@ public class getClinicalArticleCommentPage {
     @JsonProperty("root_id")
     private String rootId;
 
+    // 是否需要子评论(0:否 1:是)
+    @JsonProperty("is_have_sub_comment")
+    private Integer isHaveSubComment;
+
     // ✅ 校验分页参数
     public void validateForPage() {
         // 如果 page 为空，设为默认值 1
diff --git a/src/main/java/com/example/caseData/request/CaseClinicalVideoRequest/getClinicalVideoCommentPage.java b/src/main/java/com/example/caseData/request/CaseClinicalVideoRequest/getClinicalVideoCommentPage.java
index d313edd..8b1ec75 100644
--- a/src/main/java/com/example/caseData/request/CaseClinicalVideoRequest/getClinicalVideoCommentPage.java
+++ b/src/main/java/com/example/caseData/request/CaseClinicalVideoRequest/getClinicalVideoCommentPage.java
@@ -25,6 +25,10 @@ public class getClinicalVideoCommentPage {
     @JsonProperty("root_id")
     private String rootId;
 
+    // 是否需要子评论(0:否 1:是)
+    @JsonProperty("is_have_sub_comment")
+    private Integer isHaveSubComment;
+
     // ✅ 校验分页参数
     public void validateForPage() {
         // 如果 page 为空，设为默认值 1