diff --git a/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs b/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
index ab0fd6cba..3e2307e3e 100644
--- a/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
@@ -600,14 +600,14 @@ namespace IRaCIS.Core.Application.Service
                 
                  }
                 });
-                await _taskMedicalReviewRepository.BatchUpdateNoTrackingAsync(x => !x.IsClosedDialog && x.Id == inDto.TaskMedicalReviewId, x => new TaskMedicalReview()
+                await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(x => !x.IsClosedDialog && x.Id == inDto.TaskMedicalReviewId, x => new TaskMedicalReview()
                 {
                     IsClosedDialog = true,
                     MedicalDialogCloseEnum = MedicalDialogClose.IRApplyReReading,
                 });
             }
 
-            await _taskMedicalReviewRepository.BatchUpdateNoTrackingAsync(x =>  x.Id == inDto.TaskMedicalReviewId, x => new TaskMedicalReview()
+            await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(inDto.TaskMedicalReviewId, x => new TaskMedicalReview()
             {
                 DoctorUserIdeaEnum = inDto.DoctorUserIdeaEnum,
             });
@@ -705,6 +705,7 @@ namespace IRaCIS.Core.Application.Service
         /// <param name="inDto"></param>
         /// <returns></returns>
         [HttpPost]
+        [UnitOfWork]
         public async Task<IResponseOutput> IRConfirmMedicalReview(IRConfirmMedicalReviewInDto inDto)
         {
             var medicalReviewInfo = await _taskMedicalReviewRepository.Where(x => x.Id == inDto.TaskMedicalReviewId).FirstNotNullAsync();
diff --git a/IRaCIS.Core.Infra.EFCore/Common/AuditingData.cs b/IRaCIS.Core.Infra.EFCore/Common/AuditingData.cs
index 2662ee16f..05dbf7ac9 100644
--- a/IRaCIS.Core.Infra.EFCore/Common/AuditingData.cs
+++ b/IRaCIS.Core.Infra.EFCore/Common/AuditingData.cs
@@ -577,6 +577,26 @@ namespace IRaCIS.Core.Infra.EFCore.Common
             }
 
 
+            //医学审核对话
+
+            foreach (var item in entitys.Where(x => x.Entity.GetType() == typeof(ReadingMedicalReviewDialog)))
+            {
+                var type = GetEntityAuditOpt(item);
+
+                var entity = item.Entity as ReadingMedicalReviewDialog;
+
+                await InsertInspection<ReadingMedicalReviewDialog>(entity, type, x => new InspectionConvertDTO()
+                {
+                    IsDistinctionInterface = false,
+                    VisitTaskId = entity.VisitTaskId,
+
+                    ObjectRelationParentId = entity.TaskMedicalReviewId,
+
+                });
+            }
+
+
+
             //医学审核
             foreach (var item in entitys.Where(x => x.Entity.GetType() == typeof(TaskMedicalReview)))
             {
@@ -608,25 +628,6 @@ namespace IRaCIS.Core.Infra.EFCore.Common
 
 
 
-            //医学审核对话
-
-            foreach (var item in entitys.Where(x => x.Entity.GetType() == typeof(ReadingMedicalReviewDialog)))
-            {
-                var type = GetEntityAuditOpt(item);
-
-                var entity = item.Entity as ReadingMedicalReviewDialog;
-
-                await InsertInspection<ReadingMedicalReviewDialog>(entity, type, x => new InspectionConvertDTO()
-                {
-                    IsDistinctionInterface = false,
-                    VisitTaskId = entity.VisitTaskId,
-
-                    ObjectRelationParentId = entity.TaskMedicalReviewId,
-
-                });
-            }
-
-
 
 
             // Qc 问题答案