diff --git a/src/views/business/case-clinical-video/case-clinical-video-form.vue b/src/views/business/case-clinical-video/case-clinical-video-form.vue
index a7a301c..2e4b741 100644
--- a/src/views/business/case-clinical-video/case-clinical-video-form.vue
+++ b/src/views/business/case-clinical-video/case-clinical-video-form.vue
@@ -44,11 +44,11 @@
         <a-form-item label="是否外部链接" name="isLink" :colon="false">
           <a-switch v-model:checked="isLinkChecked" />
         </a-form-item>
-        <a-form-item label="外部链接地址"  name="isLinkUrl" v-if="isLinkChecked">
-          <a-input style="width: 100%" v-model:value="form.isLinkUrl" placeholder="外部链接地址" />
+        <a-form-item label="外部链接地址"  name="isLinkUrl" v-if="isLinkChecked" :required="true">
+          <a-input style="width: 100%" v-model:value="form.isLinkUrl" placeholder="请输入外部链接地址" />
         </a-form-item>
-        <a-form-item label="视频编号"  name="videoNo" v-if="!isLinkChecked">
-          <a-input style="width: 100%" v-model:value="form.videoNo" placeholder="视频编号" />
+        <a-form-item label="视频编号"  name="videoNo" v-if="!isLinkChecked" :required="true">
+          <a-input style="width: 100%" v-model:value="form.videoNo" placeholder="请输入视频编号" />
         </a-form-item>
         <a-form-item label="疾病标签"  name="labelList">
           <div class="label-container">
@@ -352,9 +352,17 @@
       if (value) {
         // 选择外部链接时，清空视频编号
         form.videoNo = undefined;
+        // 清除视频编号的验证状态
+        nextTick(() => {
+          formRef.value?.clearValidate(['videoNo']);
+        });
       } else {
         // 不选择外部链接时，清空外部链接地址
         form.isLinkUrl = undefined;
+        // 清除外部链接地址的验证状态
+        nextTick(() => {
+          formRef.value?.clearValidate(['isLinkUrl']);
+        });
       }
     }
   });
@@ -369,7 +377,7 @@
             return Promise.resolve();
           }
           if (!value || value.trim() === '') {
-            return Promise.reject('视频编号 必填');
+            return Promise.reject('请填写视频编号');
           }
           return Promise.resolve();
         }
@@ -402,7 +410,7 @@
             return Promise.resolve();
           }
           if (!value || value.trim() === '') {
-            return Promise.reject('外部链接地址 必填');
+            return Promise.reject('请填写外部链接地址');
           }
           return Promise.resolve();
         }
diff --git a/src/views/business/case-exchange/case-exchange-list.vue b/src/views/business/case-exchange/case-exchange-list.vue
index ceb36dd..bcbe21d 100644
--- a/src/views/business/case-exchange/case-exchange-list.vue
+++ b/src/views/business/case-exchange/case-exchange-list.vue
@@ -106,7 +106,7 @@
                 </template>
                 <template v-if="column.dataIndex === 'action'">
                     <div class="smart-table-operate">
-                        <a-button @click="showAuditModal(record)" type="link" v-if="hasPermission('caseExchange:auditStatusUpdate')">审核</a-button>
+                        <a-button @click="showAuditModal(record)" type="link" v-if="hasPermission('caseExchange:auditStatusUpdate')" :disabled="record.auditStatus === 1">审核</a-button>
                         <a-button @click="showForm(record)" type="link">编辑</a-button>
                         <a-button @click="onDelete(record)" danger type="link">删除</a-button>
                     </div>
diff --git a/src/views/business/user-comment-clinical-article/user-comment-clinical-article-list.vue b/src/views/business/user-comment-clinical-article/user-comment-clinical-article-list.vue
index 85ba0d4..313f051 100644
--- a/src/views/business/user-comment-clinical-article/user-comment-clinical-article-list.vue
+++ b/src/views/business/user-comment-clinical-article/user-comment-clinical-article-list.vue
@@ -71,11 +71,13 @@
             :row-selection="{ selectedRowKeys: selectedRowKeyList, onChange: onSelectChange }"
         >
             <template #bodyCell="{ text, record, column }">
+                <template v-if="column.dataIndex === 'commentType'">
+                    <a-tag :color="record.parentId ? 'blue' : 'green'">
+                        {{ record.parentId ? '回复' : '评论' }}
+                    </a-tag>
+                </template>
                 <template v-if="column.dataIndex === 'action'">
                     <div class="smart-table-operate">
-                        <a-button @click="updateStatus(record.commentId, record.status === 1 ? 0 : 1)" type="link">
-                            {{ record.status === 1 ? '禁用' : '启用' }}
-                        </a-button>
                         <a-button @click="updateTopStatus(record.commentId, record.isTop === 1 ? 0 : 1)" type="link">
                             {{ record.isTop === 1 ? '取消置顶' : '置顶' }}
                         </a-button>
@@ -132,22 +134,15 @@
 
     const columns = ref([
         { title: '用户名称', dataIndex: 'userName', ellipsis: true, width: 120 },
+        { title: '类型', dataIndex: 'commentType', ellipsis: true, width: 80 },
         { title: '文章标题', dataIndex: 'articleTitle', ellipsis: false, width: 200, customRender: ({ text }) => h('div', { style: { 'white-space': 'pre-wrap', 'word-break': 'break-all', 'line-height': '1.4' } }, text || '-') },
         { title: '评论状态', dataIndex: 'status', ellipsis: true, width: 80, customRender: ({ text }) => h('a-tag', { 
             color: text === 1 ? 'success' : 'error'
         }, text === 1 ? '正常' : '禁用') },
-        { title: '是否敏感词', dataIndex: 'isSensitive', ellipsis: true, width: 80, customRender: ({ text }) => h('a-tag', { 
-            color: text === 1 ? 'error' : 'success'
-        }, text === 1 ? '是' : '否') },
         { title: '是否置顶', dataIndex: 'isTop', ellipsis: true, width: 80, customRender: ({ text }) => h('a-tag', { 
             color: text === 1 ? 'processing' : 'default'
         }, text === 1 ? '是' : '否') },
-        { title: '点赞数量', dataIndex: 'likeNum', ellipsis: true, width: 80 },
-        { title: '是否作者评论', dataIndex: 'isAuthor', ellipsis: true, width: 100, customRender: ({ text }) => h('a-tag', { 
-            color: text === 1 ? 'magenta' : 'default'
-        }, text === 1 ? '是' : '否') },
         { title: '评论内容', dataIndex: 'content', ellipsis: false, width: 200, customRender: ({ text }) => h('div', { style: { 'white-space': 'pre-wrap', 'word-break': 'break-all', 'line-height': '1.4' } }, text || '-') },
-        { title: '评论内容(原版)', dataIndex: 'contentWord', ellipsis: false, width: 200, customRender: ({ text }) => h('div', { style: { 'white-space': 'pre-wrap', 'word-break': 'break-all', 'line-height': '1.4' } }, text || '-') },
         { title: '评论图片', dataIndex: 'commentImage', ellipsis: false, width: 150, customRender: ({ text }) => {
             if (!text) return h('span', '-');
             const images = text.split(',').filter(img => img.trim());
diff --git a/src/views/business/user-comment-clinical-video/user-comment-clinical-video-list.vue b/src/views/business/user-comment-clinical-video/user-comment-clinical-video-list.vue
index a5e935e..b3d2665 100644
--- a/src/views/business/user-comment-clinical-video/user-comment-clinical-video-list.vue
+++ b/src/views/business/user-comment-clinical-video/user-comment-clinical-video-list.vue
@@ -71,11 +71,13 @@
             :row-selection="{ selectedRowKeys: selectedRowKeyList, onChange: onSelectChange }"
         >
             <template #bodyCell="{ text, record, column }">
+                <template v-if="column.dataIndex === 'commentType'">
+                    <a-tag :color="record.parentId ? 'blue' : 'green'">
+                        {{ record.parentId ? '回复' : '评论' }}
+                    </a-tag>
+                </template>
                 <template v-if="column.dataIndex === 'action'">
                     <div class="smart-table-operate">
-                        <a-button @click="updateStatus(record.commentId, record.status === 1 ? 0 : 1)" type="link">
-                            {{ record.status === 1 ? '禁用' : '启用' }}
-                        </a-button>
                         <a-button @click="updateTopStatus(record.commentId, record.isTop === 1 ? 0 : 1)" type="link">
                             {{ record.isTop === 1 ? '取消置顶' : '置顶' }}
                         </a-button>
@@ -132,22 +134,15 @@
 
     const columns = ref([
         { title: '用户名称', dataIndex: 'userName', ellipsis: true, width: 120 },
+        { title: '类型', dataIndex: 'commentType', ellipsis: true, width: 80 },
         { title: '视频标题', dataIndex: 'videoTitle', ellipsis: false, width: 200, customRender: ({ text }) => h('div', { style: { 'white-space': 'pre-wrap', 'word-break': 'break-all', 'line-height': '1.4' } }, text || '-') },
         { title: '评论状态', dataIndex: 'status', ellipsis: true, width: 80, customRender: ({ text }) => h('a-tag', { 
             color: text === 1 ? 'success' : 'error'
         }, text === 1 ? '正常' : '禁用') },
-        { title: '是否敏感词', dataIndex: 'isSensitive', ellipsis: true, width: 80, customRender: ({ text }) => h('a-tag', { 
-            color: text === 1 ? 'error' : 'success'
-        }, text === 1 ? '是' : '否') },
         { title: '是否置顶', dataIndex: 'isTop', ellipsis: true, width: 80, customRender: ({ text }) => h('a-tag', { 
             color: text === 1 ? 'processing' : 'default'
         }, text === 1 ? '是' : '否') },
-        { title: '点赞数量', dataIndex: 'likeNum', ellipsis: true, width: 80 },
-        { title: '是否作者评论', dataIndex: 'isAuthor', ellipsis: true, width: 100, customRender: ({ text }) => h('a-tag', { 
-            color: text === 1 ? 'magenta' : 'default'
-        }, text === 1 ? '是' : '否') },
         { title: '评论内容', dataIndex: 'content', ellipsis: false, width: 200, customRender: ({ text }) => h('div', { style: { 'white-space': 'pre-wrap', 'word-break': 'break-all', 'line-height': '1.4' } }, text || '-') },
-        { title: '评论内容(原版)', dataIndex: 'contentWord', ellipsis: false, width: 200, customRender: ({ text }) => h('div', { style: { 'white-space': 'pre-wrap', 'word-break': 'break-all', 'line-height': '1.4' } }, text || '-') },
         { title: '评论图片', dataIndex: 'commentImage', ellipsis: false, width: 150, customRender: ({ text }) => {
             if (!text) return h('span', '-');
             const images = text.split(',').filter(img => img.trim());
diff --git a/src/views/business/user-comment-exchange/user-comment-exchange-list.vue b/src/views/business/user-comment-exchange/user-comment-exchange-list.vue
index 3d259e8..b014ee7 100644
--- a/src/views/business/user-comment-exchange/user-comment-exchange-list.vue
+++ b/src/views/business/user-comment-exchange/user-comment-exchange-list.vue
@@ -71,11 +71,13 @@
             :row-selection="{ selectedRowKeys: selectedRowKeyList, onChange: onSelectChange }"
         >
             <template #bodyCell="{ text, record, column }">
+                <template v-if="column.dataIndex === 'commentType'">
+                    <a-tag :color="record.parentId ? 'blue' : 'green'">
+                        {{ record.parentId ? '回复' : '评论' }}
+                    </a-tag>
+                </template>
                 <template v-if="column.dataIndex === 'action'">
                     <div class="smart-table-operate">
-                        <a-button @click="updateStatus(record.commentId, record.status === 1 ? 0 : 1)" type="link">
-                            {{ record.status === 1 ? '禁用' : '启用' }}
-                        </a-button>
                         <a-button @click="updateTopStatus(record.commentId, record.isTop === 1 ? 0 : 1)" type="link">
                             {{ record.isTop === 1 ? '取消置顶' : '置顶' }}
                         </a-button>
@@ -132,22 +134,15 @@
 
     const columns = ref([
         { title: '用户名称', dataIndex: 'userName', ellipsis: true, width: 120 },
+        { title: '类型', dataIndex: 'commentType', ellipsis: true, width: 80 },
         { title: '交流标题', dataIndex: 'exchangeTitle', ellipsis: false, width: 200, customRender: ({ text }) => h('div', { style: { 'white-space': 'pre-wrap', 'word-break': 'break-all', 'line-height': '1.4' } }, text || '-') },
         { title: '评论状态', dataIndex: 'status', ellipsis: true, width: 80, customRender: ({ text }) => h('a-tag', { 
             color: text === 1 ? 'success' : 'error'
         }, text === 1 ? '正常' : '禁用') },
-        { title: '是否敏感词', dataIndex: 'isSensitive', ellipsis: true, width: 80, customRender: ({ text }) => h('a-tag', { 
-            color: text === 1 ? 'error' : 'success'
-        }, text === 1 ? '是' : '否') },
         { title: '是否置顶', dataIndex: 'isTop', ellipsis: true, width: 80, customRender: ({ text }) => h('a-tag', { 
             color: text === 1 ? 'processing' : 'default'
         }, text === 1 ? '是' : '否') },
-        { title: '点赞数量', dataIndex: 'likeNum', ellipsis: true, width: 80 },
-        { title: '是否作者评论', dataIndex: 'isAuthor', ellipsis: true, width: 100, customRender: ({ text }) => h('a-tag', { 
-            color: text === 1 ? 'magenta' : 'default'
-        }, text === 1 ? '是' : '否') },
         { title: '评论内容', dataIndex: 'content', ellipsis: false, width: 200, customRender: ({ text }) => h('div', { style: { 'white-space': 'pre-wrap', 'word-break': 'break-all', 'line-height': '1.4' } }, text || '-') },
-        { title: '评论内容(原版)', dataIndex: 'contentWord', ellipsis: false, width: 200, customRender: ({ text }) => h('div', { style: { 'white-space': 'pre-wrap', 'word-break': 'break-all', 'line-height': '1.4' } }, text || '-') },
         { title: '评论图片', dataIndex: 'commentImage', ellipsis: false, width: 150, customRender: ({ text }) => {
             if (!text) return h('span', '-');
             const images = text.split(',').filter(img => img.trim());