refactor: 统一耗材视觉算法并扩展语音确认至全量候选清单

- 以 ConsumableVisionAlgorithmService 替代 consumable_classifier 与 tear_action；
  可选手部检测权重，未配置时全帧分类；时间窗众数与 Excel 白名单配置。
- 语音待确认：ASR 先匹配 pending topk，再匹配本台 candidate_consumables；
  记账 item_id 与 vision 一致使用 name_to_code。
- 更新 config、Compose、.env.example、依赖（pandas/openpyxl）与测试。

Made-with: Cursor

app/services/voice_resolution.py

@@ -15,7 +15,11 @@ from app.services.audio_wav import WavDecodeError, wav_bytes_to_pcm16k_mono_s16l
 from app.services.baidu_speech import BaiduSpeechNotConfiguredError, BaiduSpeechService
 from app.services.minio_audio_storage import MinioAudioStorageService, StoredAudio
 from app.services.video.session_manager import CameraSessionManager
-from app.services.voice_confirm import is_rejection_phrase, parse_voice_choice
+from app.services.voice_confirm import (
+    is_rejection_phrase,
+    match_voice_choice_against_candidates,
+    parse_voice_choice,
+)
 from app.surgery_errors import SurgeryPipelineError
 
 
@@ -256,9 +260,19 @@ class VoiceConfirmationService:
         chosen: str | None = None
         if not rejected:
             chosen = parse_voice_choice(text, option_labels)
+            if chosen is None:
+                surgery_candidates = self._sessions.get_surgery_candidate_consumables(
+                    surgery_id
+                )
+                chosen = match_voice_choice_against_candidates(
+                    text, surgery_candidates
+                )
 
         if not rejected and not chosen:
-            msg = "无法从语音中匹配候选项，请重试或说「不是」否认全部"
+            msg = (
+                "无法从语音中匹配候选项或本台手术候选清单中的耗材名称，"
+                "请重试或说「不是」否认全部"
+            )
             await self._persist_audit(
                 surgery_id=surgery_id,
                 confirmation_id=confirmation_id,