diff --git a/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml b/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml
index a6ce1d80d..1fd1d6558 100755
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml
@@ -872,7 +872,7 @@
 
     <!-- 手术项目专用分页查询：仅查手术 + 定价，无库存/草稿库存/取药科室等无关逻辑 -->
     <select id="getSurgeryPage" resultType="com.openhis.web.doctorstation.dto.SurgeryItemDto">
-        SELECT
+        SELECT DISTINCT ON (t1.ID)
             t1.ID AS advice_definition_id,
             t1.NAME AS advice_name,
             t1.org_id AS org_id,
@@ -892,12 +892,12 @@
           <if test="searchKey != null and searchKey != ''">
               AND (t1.name ILIKE '%' || #{searchKey} || '%' OR t1.py_str ILIKE '%' || #{searchKey} || '%')
           </if>
-        ORDER BY t1.name ASC
+        ORDER BY t1.ID, t1.name ASC, t2.ID ASC
     </select>
 
     <!-- 检查项目专用分页查询：仅查检查(23) + 定价，无库存/草稿库存/取药科室等无关逻辑 -->
     <select id="getExaminationPage" resultType="com.openhis.web.doctorstation.dto.SurgeryItemDto">
-        SELECT
+        SELECT DISTINCT ON (t1.ID)
             t1.ID AS advice_definition_id,
             t1.NAME AS advice_name,
             t1.org_id AS org_id,
@@ -917,7 +917,7 @@
           <if test="searchKey != null and searchKey != ''">
               AND (t1.name ILIKE '%' || #{searchKey} || '%' OR t1.py_str ILIKE '%' || #{searchKey} || '%')
           </if>
-        ORDER BY t1.name ASC
+        ORDER BY t1.ID, t1.name ASC, t2.ID ASC
     </select>
 
 </mapper>
\ No newline at end of file
diff --git a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/surgery.vue b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/surgery.vue
index 1afeb32c6..0e50c0431 100755
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/surgery.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/surgery.vue
@@ -128,7 +128,7 @@ const emits = defineEmits(['submitOk']);
 const props = defineProps({});
 const state = reactive({});
 const applicationListAll = ref();
-const applicationList = ref();
+const applicationList = ref([]);
 const orgOptions = ref([]); // 科室选项
 const loading = ref(false); // 加载状态
 const mapToTransferItem = (item) => {
@@ -174,7 +174,9 @@ const loadPage = (key) => {
       dbTotal.value = res.data.total || 0;
       const records = res.data.records;
       applicationListAll.value = records;
-      applicationList.value = records.map(mapToTransferItem);
+      applicationList.value = records
+        .filter(item => item.adviceDefinitionId != null)
+        .map(mapToTransferItem);
       // 仅在无搜索时缓存
       if (!key) {
         surgeryRecordsCache = records;