diff --git a/yudao-module-ultrasoniccom/yudao-module-ultrasoniccom-biz/src/main/java/cn/iocoder/yudao/module/ultrasoniccom/controller/admin/ultrasonic/ultrasonicController.java b/yudao-module-ultrasoniccom/yudao-module-ultrasoniccom-biz/src/main/java/cn/iocoder/yudao/module/ultrasoniccom/controller/admin/ultrasonic/ultrasonicController.java
index b5d32bab1..1bb26cd0d 100644
--- a/yudao-module-ultrasoniccom/yudao-module-ultrasoniccom-biz/src/main/java/cn/iocoder/yudao/module/ultrasoniccom/controller/admin/ultrasonic/ultrasonicController.java
+++ b/yudao-module-ultrasoniccom/yudao-module-ultrasoniccom-biz/src/main/java/cn/iocoder/yudao/module/ultrasoniccom/controller/admin/ultrasonic/ultrasonicController.java
@@ -281,8 +281,12 @@ public class ultrasonicController {
                     demedicalimgDO.setRegId(updateReqVO.get(0).getRegid());
                     demedicalimgDO.setSelected("0");
                 }
-                dedoList.add(demedicalimgDO);
-                doList.add(medicalimgDO);
+                    if(demedicalimgDO.getRegId()!=null)
+                    {
+                        dedoList.add(demedicalimgDO);
+                    }
+                    doList.add(medicalimgDO);
+
             }
             //先进行更新
             if (!dedoList.isEmpty()) {