diff --git a/IRC.Core.SCP/Service/CStoreSCPService.cs b/IRC.Core.SCP/Service/CStoreSCPService.cs
index 19a47ac0a..7f55d3ed3 100644
--- a/IRC.Core.SCP/Service/CStoreSCPService.cs
+++ b/IRC.Core.SCP/Service/CStoreSCPService.cs
@@ -364,11 +364,14 @@ namespace IRaCIS.Core.SCP.Service
 
                         // 替换原 PixelData
                         dicomFile.Dataset.AddOrUpdate(newFragments);
+
+
+                        // 重新保存 dicom 到流
+                        ms.SetLength(0);
+                        dicomFile.Save(ms);
                     }
 
-                    // 重新保存 dicom 到流
-                    ms.SetLength(0);
-                    dicomFile.Save(ms);
+
                     ms.Position = 0;
 
                     #endregion
diff --git a/IRaCIS.Core.Application/Service/Visit/PatientService.cs b/IRaCIS.Core.Application/Service/Visit/PatientService.cs
index 22feb2f36..35531a08c 100644
--- a/IRaCIS.Core.Application/Service/Visit/PatientService.cs
+++ b/IRaCIS.Core.Application/Service/Visit/PatientService.cs
@@ -1411,7 +1411,7 @@ namespace IRaCIS.Application.Services
 
                     // 预先处理1： 删除未提交的所有绑定的检查记录，所有检查一起考虑绑定
 
-                    await _studySubjectVisitRepository.BatchDeleteNoTrackingAsync(t => t.SubjectId == subjectId && t.SubjectVisit.SubmitState != SubmitStateEnum.Submitted);
+                    await _studySubjectVisitRepository.DeleteFromQueryAsync(t => t.SubjectId == subjectId && t.SubjectVisit.SubmitState != SubmitStateEnum.Submitted);
 
                     //预处理2 找到该subjecct 已提交的访视的最大检查时间，绑定的检查时间要比这个时间要大
 
@@ -1531,7 +1531,7 @@ namespace IRaCIS.Application.Services
             inCommand.PatientIdList = dbPatientIdList.Union(inCommand.PatientIdList).Distinct().ToList();
 
             // 预先处理2： 删除未提交的所有绑定的检查记录，所有检查一起考虑绑定
-            await _studySubjectVisitRepository.BatchDeleteNoTrackingAsync(t => t.SubjectId == subjectId && t.SubjectVisit.SubmitState != SubmitStateEnum.Submitted);
+            await _studySubjectVisitRepository.DeleteFromQueryAsync(t => t.SubjectId == subjectId && t.SubjectVisit.SubmitState != SubmitStateEnum.Submitted);
 
             //预处理3 找到该subjecct 已提交的访视的最大检查时间，绑定的检查时间要比这个时间要大
 
@@ -1581,7 +1581,7 @@ namespace IRaCIS.Application.Services
                 {
                     await _subjectPatientRepository.DeleteAsync(find);
 
-                    await _studySubjectVisitRepository.BatchDeleteNoTrackingAsync(t => t.SubjectId == find.SubjectId && t.SCPStudy.PatientId == patientId);
+                    //await _studySubjectVisitRepository.BatchDeleteNoTrackingAsync(t => t.SubjectId == find.SubjectId && t.SCPStudy.PatientId == patientId);
 
                     await _subjectPatientRepository.SaveChangesAsync();
 
@@ -1594,7 +1594,7 @@ namespace IRaCIS.Application.Services
                     var dbPatientIdList = _subjectPatientRepository.Where(t => t.SubjectId == subjectId).Select(t => t.PatientId).ToList();
 
                     // 预先处理2： 删除未提交的所有绑定的检查记录，所有检查一起考虑绑定
-                    await _studySubjectVisitRepository.BatchDeleteNoTrackingAsync(t => t.SubjectId == subjectId && t.SubjectVisit.SubmitState != SubmitStateEnum.Submitted);
+                    await _studySubjectVisitRepository.DeleteFromQueryAsync(t => t.SubjectId == subjectId && t.SubjectVisit.SubmitState != SubmitStateEnum.Submitted);
 
                     //预处理3 找到该subjecct 已提交的访视的最大检查时间，绑定的检查时间要比这个时间要大