diff --git a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V2026_0617__bug684_fix_surgery_status_dict_duplicates.sql b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V2026_0617__bug684_fix_surgery_status_dict_duplicates.sql
new file mode 100644
index 000000000..b8c0cff64
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V2026_0617__bug684_fix_surgery_status_dict_duplicates.sql
@@ -0,0 +1,15 @@
+-- Bug #684: 手术状态下拉框有重复
+-- 原因：sys_dict_data 中 surgery_status 类型存在重复记录（每个 dict_value 有3条）
+-- 修复：删除重复记录，每个 dict_value 只保留 dict_code 最小的一条
+
+DELETE FROM sys_dict_data
+WHERE dict_code IN (
+    SELECT dict_code
+    FROM (
+        SELECT dict_code,
+               ROW_NUMBER() OVER (PARTITION BY dict_type, dict_value ORDER BY dict_code ASC) as rn
+        FROM sys_dict_data
+        WHERE dict_type = 'surgery_status'
+    ) t
+    WHERE rn > 1
+);