select role_id, dept_id, hospital_id from hospital_role_dept and hospital_id = #{hospitalId} where role_id = #{roleId} insert into hospital_role_dept role_id, dept_id, hospital_id, #{roleId}, #{deptId}, #{hospitalId}, update hospital_role_dept dept_id = #{deptId}, hospital_id = #{hospitalId}, where role_id = #{roleId} delete from hospital_role_dept where role_id = #{roleId} delete from hospital_role_dept where role_id in #{roleId} insert into hospital_role_dept(role_id, dept_id) values (#{item.roleId},#{item.deptId})