diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/AdviceProcessAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/AdviceProcessAppServiceImpl.java
index 0a55610b0..2238165f5 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/AdviceProcessAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/AdviceProcessAppServiceImpl.java
@@ -178,9 +178,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
         inpatientAdviceParam.setEncounterIds(null);
         Integer exeStatus = inpatientAdviceParam.getExeStatus();
         inpatientAdviceParam.setExeStatus(null);
-        // requestStatus由前端tab控制，需在后端过滤
-        Integer requestStatus = inpatientAdviceParam.getRequestStatus();
-        inpatientAdviceParam.setRequestStatus(null);
+        // requestStatus由前端tab传入，通过QueryWrapper自动添加到SQL外层WHERE过滤
         // 构建查询条件
         QueryWrapper<InpatientAdviceParam> queryWrapper
                 = HisQueryUtils.buildQueryWrapper(inpatientAdviceParam, null, null, null);
@@ -293,16 +291,6 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
                 inpatientAdvicePage.setTotal(filteredList.size());
             }
         }
-
-        // 按请求状态（tab切换）过滤医嘱
-        if (requestStatus != null) {
-            List<InpatientAdviceDto> statusFilteredList = inpatientAdvicePage.getRecords().stream()
-                    .filter(advice -> requestStatus.equals(advice.getRequestStatus()))
-                    .collect(Collectors.toList());
-            inpatientAdvicePage.setRecords(statusFilteredList);
-            inpatientAdvicePage.setTotal(statusFilteredList.size());
-        }
-
         return R.ok(inpatientAdvicePage);
     }
 
@@ -379,7 +367,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
                             .in(MedicationDispense::getMedReqId, medReqIds)
                             .eq(MedicationDispense::getStatusEnum, DispenseStatus.COMPLETED.getValue()));
             if (!dispenseList.isEmpty()) {
-                return R.fail("该医嘱已发药，无法退回");
+                return R.fail("该药品已由药房发放，请先执行退药处理，不可直接退回");
             }
         }
         Long practitionerId = SecurityUtils.getLoginUser().getPractitionerId();
diff --git a/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderProofread/components/prescriptionList.vue b/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderProofread/components/prescriptionList.vue
index b9fd624d4..4779c5e02 100755
--- a/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderProofread/components/prescriptionList.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderProofread/components/prescriptionList.vue
@@ -23,7 +23,7 @@
         <span class="descriptions-item-label">全选：</span>
         <el-switch v-model="chooseAll" @change="handelSwitchChange" />
         <el-button class="ml20" type="primary" @click="handleCheck"> 核对通过 </el-button>
-        <el-button class="ml20 mr20" type="danger" @click="handleCancel"> 退回 </el-button>
+        <el-button class="ml20 mr20" type="danger" :disabled="hasDispensedSelected" @click="handleCancel"> 退回 </el-button>
       </div>
     </div>
     <div
@@ -152,6 +152,7 @@
   </div>
 </template>
 <script setup>
+import {ref, computed} from 'vue';
 import {adviceVerify, cancel, getPrescriptionList} from './api';
 import {patientInfoList} from '../../components/store/patient.js';
 import {formatDateStr} from '@/utils/index';
@@ -163,6 +164,11 @@ const type = ref(null);
 const { proxy } = getCurrentInstance();
 const loading = ref(false);
 const chooseAll = ref(false);
+const selectionTrigger = ref(0);
+const hasDispensedSelected = computed(() => {
+  selectionTrigger.value;
+  return getSelectRows().some(item => item.dispenseStatus === 4);
+});
 const props = defineProps({
   requestStatus: {
     type: Number,
@@ -262,7 +268,9 @@ function getGroupMarkers() {
 }
 
 // 选择框改变时的处理
-function handleSelectionChange(selection, row) {}
+function handleSelectionChange(selection, row) {
+  selectionTrigger.value++;
+}
 
 /**
  * 核对通过
@@ -291,7 +299,7 @@ function handleCancel() {
     // 校验已发药的医嘱不允许退回
     let dispensedItems = list.filter(item => item.dispenseStatus === 4);
     if (dispensedItems.length > 0) {
-      proxy.$message.error('该医嘱已发药，无法退回');
+      proxy.$message.error('该药品已由药房发放，请先执行退药处理，不可直接退回');
       return;
     }
     cancel(list).then((res) => {
@@ -310,12 +318,16 @@ function getSelectRows() {
   // 获取选中的医嘱信息
   let list = [];
   prescriptionList.value.forEach((item, index) => {
-    list = [...list, ...proxy.$refs['tableRef' + index][0].getSelectionRows()];
+    const ref = proxy.$refs['tableRef' + index];
+    if (ref && ref[0]) {
+      list = [...list, ...ref[0].getSelectionRows()];
+    }
   });
   return list.map((item) => {
     return {
       requestId: item.requestId,
       requestTable: item.adviceTable,
+      dispenseStatus: item.dispenseStatus,
     };
   });
 }
diff --git a/openhis-ui-vue3/src/views/surgicalschedule/index.vue b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
index 06cbc1823..478b4749b 100755
--- a/openhis-ui-vue3/src/views/surgicalschedule/index.vue
+++ b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
@@ -689,7 +689,7 @@
     </el-dialog>
 
     <!-- 手术申请查询弹窗 -->
-    <el-dialog :title="'手术申请查询'" v-model="showApplyDialog" width="1200px" @close="cancelApplyDialog" class="apply-query-dialog">
+    <el-dialog :title="'手术申请查询'" v-model="showApplyDialog" width="1200px" @close="cancelApplyDialog" class="surgery-apply-dialog">
       <!-- 查询条件区 -->
       <el-form :model="applyQueryParams" ref="applyQueryRef" :inline="true" class="query-form">
         <el-form-item label="手术单号" prop="surgeryNo">
@@ -741,16 +741,16 @@
       </el-form>
 
       <!-- 结果表格区 -->
-      <el-table 
-        ref="applyTableRef" 
-        v-loading="applyLoading" 
-        :data="applyList" 
-        row-key="surgeryNo" 
-        @row-click="handleApplyRowClick" 
-        :row-class-name="tableRowClassName" 
-        style="width: 100%" 
-        max-height="400"
-        :scroll="{ y: 400 }"
+      <el-table
+        ref="applyTableRef"
+        v-loading="applyLoading"
+        :data="applyList"
+        row-key="surgeryNo"
+        @row-click="handleApplyRowClick"
+        :row-class-name="tableRowClassName"
+        style="width: 100%"
+        max-height="340"
+        :scroll="{ y: 340 }"
       >
         <el-table-column type="selection" width="55" :selectable="handleSelectable" />
         <el-table-column label="ID" align="center" width="80" fixed>
@@ -781,7 +781,7 @@
       </el-table>
 
       <!-- 底部分页区 -->
-      <div class="pagination-container">
+      <div class="pagination-container apply-pagination" style="margin-top: 10px; padding-bottom: 20px">
         <pagination
           v-show="applyTotal > 0"
           :total="applyTotal"
@@ -792,10 +792,12 @@
           @pagination="getSurgicalScheduleList"
         />
       </div>
+      <!-- 分页与底部操作区之间的间隔 -->
+      <div style="height: 48px"></div>
 
       <!-- 底部操作区 -->
       <template #footer>
-        <div class="dialog-footer">
+        <div class="dialog-footer" style="margin-top: 24px; padding-top: 12px; border-top: 1px solid #ebeef5">
           <el-button @click="cancelApplyDialog">取消</el-button>
           <el-button type="primary" @click="confirmApply">确认</el-button>
         </div>
@@ -830,8 +832,8 @@
           </div>
           <div style="padding: 10px">
             <prescriptionlist :patientInfo="chargePatientInfo" ref="prescriptionRef"
-              :sourceBillNo="chargePatientInfo.sourceBillNo"
-              :generateSourceEnum="chargePatientInfo.generateSourceEnum" />
+              :generateSourceEnum="1"
+              :sourceBillNo="chargePatientInfo.sourceBillNo" />
             <div class="overlay" v-if="disabled"></div>
           </div>
         </div>
@@ -2350,6 +2352,22 @@ function getRowClassName({ row, rowIndex }) {
   margin-left: 10px;
 }
 
+/* 手术申请查询弹窗 — 分页与footer间距 */
+.surgery-apply-dialog :deep(.el-dialog__body) {
+  padding-bottom: 32px;
+}
+.surgery-apply-dialog :deep(.el-dialog__footer) {
+  padding-top: 0;
+}
+.surgery-apply-dialog :deep(.apply-pagination) {
+  padding-bottom: 24px;
+  margin-bottom: 16px;
+  border-bottom: 1px solid #ebeef5;
+}
+.surgery-apply-dialog :deep(.apply-pagination .el-pagination) {
+  margin-right: 80px;
+}
+
 /* 选中行样式 */
 :deep(.el-table .selected-row) {
   background-color: #ecf5ff !important;
@@ -2359,21 +2377,22 @@ function getRowClassName({ row, rowIndex }) {
   border-bottom: 1px solid #d9ecff !important;
 }
 
-/* 手术申请查询弹窗 — 防止分页与底部重叠 */
-:deep(.apply-query-dialog .el-dialog__body) {
-  max-height: 75vh;
-  overflow-y: auto;
-  padding-bottom: 20px;
-}
-
-:deep(.apply-query-dialog .pagination-container) {
-  margin-top: 16px;
-}
-
-:deep(.apply-query-dialog .dialog-footer) {
-  margin-top: 12px;
-  padding-top: 12px;
-  border-top: 1px solid #ebeef5;
-}
-
+</style>
+
+<style>
+/* 手术申请查询弹窗 — 非 scoped 确保穿透 teleport */
+.surgery-apply-dialog .apply-pagination {
+  padding-bottom: 24px !important;
+  margin-bottom: 16px !important;
+  border-bottom: 1px solid #ebeef5 !important;
+}
+.surgery-apply-dialog .apply-pagination .el-pagination {
+  margin-right: 80px !important;
+}
+.surgery-apply-dialog .el-dialog__body {
+  padding-bottom: 32px !important;
+}
+.surgery-apply-dialog .el-dialog__footer {
+  padding-top: 0 !important;
+}
 </style>