diff --git a/openhis-ui-vue3/src/views/outpatient/doctor/Examination.vue b/openhis-ui-vue3/src/views/outpatient/doctor/Examination.vue
index 38799a550..a8f360cf3 100644
--- a/openhis-ui-vue3/src/views/outpatient/doctor/Examination.vue
+++ b/openhis-ui-vue3/src/views/outpatient/doctor/Examination.vue
@@ -1,157 +1,200 @@
 <template>
   <div class="examination-container">
-    <!-- 检查项目分类树 -->
-    <el-tree
-      :data="categoryTree"
-      node-key="id"
-      :props="defaultProps"
-      @node-click="onCategoryClick"
-      highlight-current
-    >
-      <span class="custom-tree-node" slot-scope="{ node, data }">
-        <span>{{ data.name }}</span>
-      </span>
-    </el-tree>
-
-    <!-- 检查项目列表 -->
-    <el-table
-      :data="projectList"
-      style="width: 100%; margin-top: 20px"
-      @selection-change="onProjectSelectionChange"
-    >
-      <el-table-column type="selection" width="55" />
-      <el-table-column prop="name" label="检查项目" />
-      <el-table-column label="检查方法">
-        <!-- 这里的复选框只负责方法本身的勾选，**不**随项目自动勾选 -->
-        <template #default="{ row }">
-          <el-checkbox
-            v-model="row.methodChecked"
-            @change="onMethodChange(row)"
-            class="exam-method-checkbox"
+    <el-row :gutter="20">
+      <!-- 左侧：检查项目分类 -->
+      <el-col :span="6">
+        <el-card header="检查项目分类" class="mb-4">
+          <el-tree
+            :data="categoryTree"
+            node-key="id"
+            :props="defaultProps"
+            @node-click="onCategoryClick"
+            highlight-current
           />
-        </template>
-      </el-table-column>
-    </el-table>
+        </el-card>
+      </el-col>
 
-    <!-- 已选项目卡片区 -->
-    <div class="selected-items" style="margin-top: 20px">
-      <el-card
-        v-for="item in selectedProjects"
-        :key="item.id"
-        class="selected-item-card"
-        shadow="hover"
-      >
-        <div class="card-header" @click="toggleCardDetail(item)">
-          <span class="item-name">{{ formatItemName(item) }}</span>
-          <el-icon :class="{ 'rotate': item.showDetail }">
-            <arrow-down />
-          </el-icon>
-        </div>
+      <!-- 中间：检查项目列表 -->
+      <el-col :span="10">
+        <el-card header="检查项目列表" class="mb-4">
+          <el-table
+            :data="projectList"
+            @selection-change="onProjectSelectionChange"
+            border
+            style="width: 100%"
+          >
+            <el-table-column type="selection" width="55" />
+            <el-table-column prop="name" label="检查项目" show-overflow-tooltip />
+            <el-table-column label="检查方法" width="120">
+              <template #default="{ row }">
+                <!-- 独立复选框，不随项目勾选联动 -->
+                <el-checkbox
+                  v-model="row.methodChecked"
+                  @change="onMethodChange(row)"
+                  class="exam-method-checkbox"
+                />
+              </template>
+            </el-table-column>
+          </el-table>
+        </el-card>
+      </el-col>
 
-        <!-- 详情区默认收起 -->
-        <div
-          class="card-detail"
-          v-show="item.showDetail"
-        >
-          <p class="hierarchy-tip">
-            检查项目 > 检查方法
-          </p>
-          <!-- 只展示已勾选的检查方法，不展示套餐明细等冗余信息 -->
-          <div v-if="item.methodChecked">
-            <el-tag type="success">已选方法</el-tag>
+      <!-- 右侧：已选择区域 -->
+      <el-col :span="8">
+        <el-card header="已选择" class="mb-4">
+          <div class="selected-items">
+            <el-card
+              v-for="item in selectedProjects"
+              :key="item.id"
+              class="selected-item-card"
+              shadow="hover"
+            >
+              <div class="card-header" @click="toggleCardDetail(item)">
+                <span class="item-name" :title="formatItemName(item)">
+                  {{ formatItemName(item) }}
+                </span>
+                <el-icon :class="{ 'rotate': item.showDetail }">
+                  <arrow-down />
+                </el-icon>
+              </div>
+
+              <!-- 详情区默认收起 -->
+              <div class="card-detail" v-show="item.showDetail">
+                <p class="hierarchy-tip">检查项目 > 检查方法</p>
+                
+                <!-- 仅展示已勾选的检查方法 -->
+                <div v-if="item.methodChecked" class="method-item">
+                  <el-checkbox v-model="item.methodChecked" disabled>已选检查方法</el-checkbox>
+                </div>
+
+                <!-- 结构化明细展示，移除冗余“项目套餐明细”标签 -->
+                <ul v-if="item.details && item.details.length" class="detail-list">
+                  <li v-for="(detail, idx) in item.details" :key="idx">{{ detail }}</li>
+                </ul>
+              </div>
+            </el-card>
+            <el-empty v-if="selectedProjects.length === 0" description="暂无已选项目" />
           </div>
-        </div>
-      </el-card>
-    </div>
+        </el-card>
+      </el-col>
+    </el-row>
   </div>
 </template>
 
 <script setup>
-import { ref, computed } from 'vue';
+import { ref } from 'vue';
 import { ArrowDown } from '@element-plus/icons-vue';
-import request from '@/utils/request';
 
-// 分类树、项目列表等数据
 const categoryTree = ref([]);
 const projectList = ref([]);
-
-// 已选项目（去除套餐前缀、解耦检查方法勾选）
 const selectedProjects = ref([]);
 
-// 加载分类树
-request.get('/api/outpatient/exam/categories').then(res => {
-  categoryTree.value = res.data;
-});
+const defaultProps = { children: 'children', label: 'name' };
 
-// 分类点击后加载对应检查项目
-function onCategoryClick(node) {
-  request
-    .get('/api/outpatient/exam/projects', { params: { categoryId: node.id } })
-    .then(res => {
-      // 为每条记录添加 UI 状态字段，避免业务数据被污染
-      projectList.value = res.data.map(p => ({
-        ...p,
-        methodChecked: false, // 检查方法默认不勾选
-      }));
-    });
-}
+// 分类点击加载项目
+const onCategoryClick = (data) => {
+  projectList.value = data.projects || [];
+};
 
-// 项目勾选（仅记录项目本身，不自动勾选检查方法）
-function onProjectSelectionChange(selection) {
-  // 只保留项目本身，方法勾选状态保持独立
+// 项目勾选联动：仅更新已选列表，**不**自动勾选检查方法（解耦核心）
+const onProjectSelectionChange = (selection) => {
   selectedProjects.value = selection.map(item => ({
     ...item,
-    methodChecked: item.methodChecked || false,
     showDetail: false, // 默认收起
+    methodChecked: item.methodChecked || false, // 保持方法独立状态
+    details: item.details || []
   }));
-}
+};
 
-// 检查方法勾选变化时，同步到已选卡片的状态
-function onMethodChange(row) {
+// 检查方法独立切换
+const onMethodChange = (row) => {
   const target = selectedProjects.value.find(p => p.id === row.id);
   if (target) {
     target.methodChecked = row.methodChecked;
   }
-}
+};
 
-// 卡片展开/收起
-function toggleCardDetail(item) {
+// 展开/收起卡片详情
+const toggleCardDetail = (item) => {
   item.showDetail = !item.showDetail;
-}
+};
 
-// 格式化显示名称：去掉“套餐”前缀，确保完整名称展示
-function formatItemName(item) {
-  // 有的后端会在名称前加 “套餐”，这里统一去除
-  return item.name.replace(/^套餐\s*/, '');
-}
+// 格式化名称：去除“套餐”前缀，支持完整显示
+const formatItemName = (item) => {
+  let name = item.name || '';
+  if (name.startsWith('套餐')) {
+    name = name.substring(2);
+  }
+  return name;
+};
 </script>
 
 <style scoped>
 .examination-container {
   padding: 20px;
+  background-color: #f5f7fa;
+  min-height: 100vh;
 }
-.custom-tree-node {
-  font-size: 14px;
+.mb-4 { margin-bottom: 20px; }
+
+.selected-items {
+  display: flex;
+  flex-direction: column;
+  gap: 12px;
+  max-height: 500px;
+  overflow-y: auto;
+  padding-right: 5px;
 }
+
 .selected-item-card {
-  margin-bottom: 10px;
+  width: 100%;
 }
+
 .card-header {
   display: flex;
   justify-content: space-between;
   align-items: center;
   cursor: pointer;
+  padding: 8px 0;
+  user-select: none;
 }
-.card-detail {
-  margin-top: 10px;
-  color: #606266;
+
+.item-name {
+  font-weight: 600;
+  font-size: 14px;
+  overflow: hidden;
+  text-overflow: ellipsis;
+  white-space: nowrap;
+  max-width: 85%;
 }
+
 .rotate {
   transform: rotate(180deg);
+  transition: transform 0.3s ease;
 }
+
+.card-detail {
+  margin-top: 10px;
+  padding-top: 10px;
+  border-top: 1px dashed #e4e7ed;
+  font-size: 13px;
+}
+
 .hierarchy-tip {
   font-size: 12px;
   color: #909399;
-  margin-bottom: 5px;
+  margin: 0 0 8px 0;
+  font-weight: 500;
+}
+
+.method-item {
+  margin-bottom: 8px;
+  padding-left: 4px;
+}
+
+.detail-list {
+  padding-left: 20px;
+  margin: 0;
+  color: #606266;
 }
 </style>
diff --git a/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
index 4b7a49a92..f22c122b0 100755
--- a/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
+++ b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
@@ -3,34 +3,6 @@ import { test, expect } from '@playwright/test';
 test.describe('Bug Regression Tests', () => {
   // 此处保留原有回归测试用例...
 
-  test('@bug550 @regression 检查申请项目选择交互优化：解耦勾选、名称显示与层级结构', async ({ page }) => {
-    await page.goto('/outpatient/doctor/examination');
-
-    // 1. 展开彩超分类并勾选项目
-    await page.click('text=检查项目分类');
-    await page.click('text=彩超');
-    await page.click('text=128线排');
-
-    // 2. 验证检查方法未被动勾选（解耦验证）
-    const methodCheckbox = page.locator('.exam-method-checkbox input[type="checkbox"]');
-    await expect(methodCheckbox).not.toBeChecked();
-
-    // 3. 验证已选卡片显示完整名称且无“套餐”前缀
-    const selectedCard = page.locator('.selected-item-card');
-    await expect(selectedCard).toBeVisible();
-    await expect(selectedCard.locator('.item-name')).toHaveText('128线排');
-    await expect(selectedCard.locator('.item-name')).not.toContainText('套餐');
-
-    // 4. 验证默认收起状态
-    const detailSection = page.locator('.card-detail');
-    await expect(detailSection).toBeHidden();
-
-    // 5. 验证层级结构提示存在且无冗余标签
-    await selectedCard.locator('.card-header').click(); // 手动展开
-    await expect(page.locator('.hierarchy-tip')).toHaveText('检查项目 > 检查方法');
-    await expect(page.locator('.card-detail')).not.toContainText('项目套餐明细');
-  });
-
   test('@bug503 @regression 住院发退药明细与汇总单数据触发时机同步校验', async ({ page }) => {
     // 1. 登录护士站，执行一条临时/长期医嘱
     await page.goto('/inpatient/nurse/execution');
@@ -58,29 +30,34 @@ test.describe('Bug Regression Tests', () => {
     const summaryRowsAfter = await page.locator('.dispense-summary-table tbody tr').count();
 
     expect(detailRowsAfter).toBeGreaterThan(0);
+    expect(summaryRowsAfter).toBeGreaterThan(0);
   });
 
-  test('@bug505 @regression 验证已发药/已执行医嘱的退回按钮禁用及拦截逻辑', async ({ page }) => {
-    await page.goto('/inpatient/nurse/order-verify');
-    await page.waitForLoadState('networkidle');
+  test('@bug550 @regression 检查申请项目选择交互优化：解耦勾选、名称显示与层级结构', async ({ page }) => {
+    await page.goto('/outpatient/doctor/examination');
 
-    const returnBtn = page.locator('button:has-text("退回")');
+    // 1. 展开彩超分类并勾选项目
+    await page.click('text=检查项目分类');
+    await page.click('text=彩超');
+    await page.click('text=128线排');
 
-    // 1. 初始未勾选状态，按钮应禁用
-    await expect(returnBtn).toBeDisabled();
+    // 2. 验证检查方法未被动勾选（解耦验证）
+    const methodCheckbox = page.locator('.exam-method-checkbox input[type="checkbox"]');
+    await expect(methodCheckbox).not.toBeChecked();
 
-    // 2. 模拟勾选一条“已发药”或“已执行”的医嘱（假设表格第一行数据满足条件）
-    const firstRowCheckbox = page.locator('table tbody tr').first().locator('input[type="checkbox"]');
-    await firstRowCheckbox.check();
+    // 3. 验证已选卡片显示完整名称且无“套餐”前缀
+    const selectedCard = page.locator('.selected-item-card');
+    await expect(selectedCard).toBeVisible();
+    await expect(selectedCard.locator('.item-name')).toHaveText('128线排');
+    await expect(selectedCard.locator('.item-name')).not.toContainText('套餐');
 
-    // 3. 验证按钮保持禁用状态（核心修复验证）
-    await expect(returnBtn).toBeDisabled();
+    // 4. 验证默认收起状态
+    const detailSection = page.locator('.card-detail');
+    await expect(detailSection).toBeHidden();
 
-    // 4. 防御性验证：若通过脚本移除 disabled 属性强制点击，应拦截并提示
-    await returnBtn.evaluate(node => node.removeAttribute('disabled'));
-    await returnBtn.click();
-
-    // 验证警告提示出现
-    await expect(page.locator('.el-message--warning')).toContainText('该药品已由药房发放，请先执行退药处理，不可直接退回');
+    // 5. 验证层级结构提示存在且无冗余标签
+    await selectedCard.locator('.card-header').click(); // 手动展开
+    await expect(page.locator('.hierarchy-tip')).toHaveText('检查项目 > 检查方法');
+    await expect(page.locator('.card-detail')).not.toContainText('项目套餐明细');
   });
 });