diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/impl/SurgicalScheduleAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/impl/SurgicalScheduleAppServiceImpl.java
index dd914033..42ef3211 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/impl/SurgicalScheduleAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/impl/SurgicalScheduleAppServiceImpl.java
@@ -94,6 +94,22 @@ public class SurgicalScheduleAppServiceImpl implements ISurgicalScheduleAppServi
                 return R.fail("患者信息不存在");
             }
         }
+
+        // 校验是否重复手术安排
+        // 同一患者 + 同一手术单号 + 同一手术名称 只能有一条有效安排记录
+        if (opCreateScheduleDto.getPatientId() != null
+                && opCreateScheduleDto.getOperCode() != null && !opCreateScheduleDto.getOperCode().isEmpty()
+                && opCreateScheduleDto.getOperName() != null && !opCreateScheduleDto.getOperName().isEmpty()) {
+            Boolean existsDuplicate = surgicalScheduleAppMapper.existsDuplicateSchedule(
+                    opCreateScheduleDto.getPatientId(),
+                    opCreateScheduleDto.getOperCode(),
+                    opCreateScheduleDto.getOperName()
+            );
+            if (existsDuplicate) {
+                return R.fail("该患者此手术单号已存在手术安排，请勿重复提交");
+            }
+        }
+
         //校验该时段内手术间是否被占用
         LocalDateTime scheduleDate = opCreateScheduleDto.getEntryTime();//入室时间
         String roomCode = opCreateScheduleDto.getRoomCode();//手术室编号
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/mapper/SurgicalScheduleAppMapper.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/mapper/SurgicalScheduleAppMapper.java
index 62356878..e8de099e 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/mapper/SurgicalScheduleAppMapper.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/mapper/SurgicalScheduleAppMapper.java
@@ -58,4 +58,14 @@ public interface SurgicalScheduleAppMapper {
      * @return 是否存在冲突的手术安排
      */
     Boolean isScheduleConflict(LocalDateTime startTime, LocalDateTime endTime, String surgeryRoomId);
+
+    /**
+     * 检查是否存在重复的手术安排
+     *
+     * @param patientId 患者ID
+     * @param operCode 手术单号
+     * @param operName 手术名称
+     * @return 是否存在重复记录
+     */
+    Boolean existsDuplicateSchedule(@Param("patientId") Long patientId, @Param("operCode") String operCode, @Param("operName") String operName);
 }
diff --git a/openhis-server-new/openhis-application/src/main/resources/mapper/clinicalmanage/SurgicalScheduleAppMapper.xml b/openhis-server-new/openhis-application/src/main/resources/mapper/clinicalmanage/SurgicalScheduleAppMapper.xml
index 088a7c42..830e0361 100644
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/clinicalmanage/SurgicalScheduleAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/clinicalmanage/SurgicalScheduleAppMapper.xml
@@ -144,4 +144,13 @@
         AND entry_time >= #{startTime}
         AND end_time < #{endTime}
     </select>
+
+    <!-- 检查是否存在重复的手术安排 -->
+    <select id="existsDuplicateSchedule" resultType="java.lang.Boolean">
+        SELECT COUNT(*) > 0 FROM op_schedule
+        WHERE patient_id = #{patientId}
+        AND oper_code = #{operCode}
+        AND oper_name = #{operName}
+        AND delete_flag = '0'
+    </select>
 </mapper>