diff --git a/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue b/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
index a73bff99..f01a3f64 100755
--- a/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
@@ -316,6 +316,7 @@
                     <span class="cat-title">{{ cat.categoryName }}</span>
                     <span v-if="categoryLoadingSet.has(cat.typeId)" class="loading-dot"></span>
                   </template>
+                  <!-- 检查项目（部位/项目列表） -->
                   <div
                     v-for="item in cat.items"
                     :key="item.id"
@@ -333,6 +334,27 @@
                   <div v-if="categoryLoadingSet.has(cat.typeId)" class="category-loading-hint">
                     加载中...
                   </div>
+                  <!-- Bug #428修复: 渲染分类联动加载的检查方法列表 -->
+                  <div
+                    v-if="cat.methods && cat.methods.length > 0"
+                    class="method-section"
+                  >
+                    <div class="method-section-title">检查方法</div>
+                    <div
+                      v-for="method in cat.methods"
+                      :key="method.id"
+                      class="method-row"
+                    >
+                      <el-checkbox
+                        :model-value="isMethodSelected(method, cat)"
+                        @change="(val) => handleMethodSelect(val, method, cat)"
+                        class="method-checkbox"
+                      >
+                        {{ method.name }}
+                      </el-checkbox>
+                      <span class="method-price-tag">¥{{ method.packagePrice || method.price || 0 }}</span>
+                    </div>
+                  </div>
                 </el-collapse-item>
               </el-collapse>
             </div>
@@ -1047,6 +1069,78 @@ function handleDelete(row) {
   });
 }
 
+// Bug #428修复: 判断某个检查方法是否已被选中（任意项目关联了该方法）
+function isMethodSelected(method, cat) {
+  return selectedItems.value.some(item =>
+    item.selectedMethod?.id === method.id && item.checkType === cat.typeName
+  );
+}
+
+// Bug #428修复: 勾选检查方法
+async function handleMethodSelect(checked, method, cat) {
+  if (checked) {
+    // 找到该方法所属的第一个检查项目
+    const targetItem = cat.items[0];
+    if (!targetItem) {
+      // 如果分类下没有项目，尝试从其他分类找同名项目或创建
+      console.warn('分类下没有检查项目，无法关联方法');
+      return;
+    }
+
+    // 如果该项目已存在，只更新 selectedMethod
+    const existingItem = selectedItems.value.find(s => s.id === targetItem.id);
+    if (existingItem) {
+      existingItem.selectedMethod = method;
+      updateMethodDisplay();
+      return;
+    }
+
+    // 如果该项目不存在，创建一个并关联方法
+    if (selectedItems.value.length > 0) {
+      const currentCategory = selectedItems.value[0].checkType;
+      const newCategory = cat.typeCode || '';
+      if (currentCategory !== newCategory) {
+        ElMessage.warning('一个检查单不能同时选择多个项目类型的检查项目');
+        return;
+      }
+    }
+
+    selectedItems.value.push({
+      id: targetItem.id, name: targetItem.name,
+      price: targetItem.price, quantity: 1,
+      serviceFee: targetItem.serviceFee || 0,
+      unit: targetItem.unit || '次',
+      applyPart: targetItem.name,
+      checkType: cat.typeName,
+      nationalCode: targetItem.nationalCode || '',
+      checked: true,
+      methods: [method],
+      selectedMethod: method,
+      expanded: false,
+      isPackage: !!targetItem.packageName,
+      packageId: targetItem.packageId || null
+    });
+
+    // 自动回填执行科室
+    if (selectedItems.value.length === 1 && cat?.performDeptName) {
+      form.performDeptCode = cat.performDeptName;
+    }
+
+    // 同时勾选左侧项目的 checkbox
+    targetItem.checked = true;
+
+  } else {
+    // 取消选择方法：将 selectedItems 中关联该方法的项的 selectedMethod 清空
+    const itemsWithMethod = selectedItems.value.filter(
+      item => item.selectedMethod?.id === method.id
+    );
+    for (const item of itemsWithMethod) {
+      item.selectedMethod = null;
+    }
+  }
+  updateMethodDisplay();
+}
+
 // ====== 勾选逻辑 ======
 async function handleItemSelect(checked, item, cat) {
   if (checked) {
@@ -1367,6 +1461,53 @@ defineExpose({ getList });
   margin-left: 6px;
 }
 
+/* Bug #428修复: 分类下检查方法区域样式 */
+.method-section {
+  padding: 6px 8px;
+  background: #f0f7ff;
+  border-radius: 4px;
+  margin-top: 6px;
+}
+
+.method-section-title {
+  font-size: 12px;
+  font-weight: 600;
+  color: #409eff;
+  margin-bottom: 4px;
+  padding-bottom: 3px;
+  border-bottom: 1px dashed #d9ecff;
+}
+
+.method-row {
+  display: flex;
+  align-items: center;
+  justify-content: space-between;
+  padding: 3px 4px;
+  border-radius: 3px;
+}
+
+.method-row:hover {
+  background: #e8f4ff;
+}
+
+.method-checkbox {
+  flex: 1;
+  overflow: hidden;
+}
+
+.method-checkbox :deep(.el-checkbox__label) {
+  font-size: 12px;
+  color: #303133;
+}
+
+.method-price-tag {
+  font-size: 11px;
+  color: #e6a23c;
+  font-weight: 500;
+  flex-shrink: 0;
+  margin-left: 6px;
+}
+
 /* 已选择 tags */
 .selected-panel {
   width: 140px;  /* Bug #384修复: 加宽以适应展开内容 */
@@ -1438,6 +1579,41 @@ defineExpose({ getList });
   transform: rotate(180deg);
 }
 
+/* Bug #428修复: 套餐明细列表样式 */
+.package-details-list {
+  padding: 6px 10px;
+  background: #fffbe6;
+  border-top: 1px solid #ffe58f;
+  display: flex;
+  flex-direction: column;
+  gap: 4px;
+}
+
+.detail-row {
+  display: flex;
+  align-items: center;
+  justify-content: space-between;
+  padding: 2px 6px;
+  border-radius: 3px;
+  font-size: 11px;
+  background: #fff;
+}
+
+.detail-row:hover {
+  background: #fff9e6;
+}
+
+.detail-name {
+  color: #303133;
+  font-weight: 500;
+}
+
+.detail-info {
+  color: #909399;
+  font-size: 10px;
+  white-space: nowrap;
+}
+
 /* Bug #384修复: 检查方法勾选框列表 */
 .method-list {
   padding: 6px 10px;