diff --git a/project.private.config.json b/project.private.config.json
index e713fa2..75212d5 100644
--- a/project.private.config.json
+++ b/project.private.config.json
@@ -23,11 +23,25 @@
     "miniprogram": {
       "list": [
         {
+          "name": "图片裁剪",
+          "pathName": "patient/pages/imageCrop/index",
+          "query": "",
+          "scene": null,
+          "launchMode": "default"
+        },
+        {
+          "name": "图片拼接",
+          "pathName": "patient/pages/imageMerge/index",
+          "query": "",
+          "launchMode": "default",
+          "scene": null
+        },
+        {
           "name": "患者-qol",
           "pathName": "patient/pages/qol/index",
           "query": "pushId=81",
-          "scene": null,
-          "launchMode": "default"
+          "launchMode": "default",
+          "scene": null
         },
         {
           "name": "医生-患者量表",
diff --git a/src/app.json b/src/app.json
index 37b37b3..ece80ee 100644
--- a/src/app.json
+++ b/src/app.json
@@ -71,7 +71,9 @@
         "pages/hormones/index",
         "pages/hormonesResult/index",
         "pages/medical/index",
-        "pages/medicalDetail/index"
+        "pages/medicalDetail/index",
+        "pages/imageMerge/index",
+        "pages/imageCrop/index"
       ]
     },
     {
diff --git a/src/patient/pages/imageCrop/index.json b/src/patient/pages/imageCrop/index.json
new file mode 100644
index 0000000..2c210d0
--- /dev/null
+++ b/src/patient/pages/imageCrop/index.json
@@ -0,0 +1,9 @@
+{
+  "navigationBarTitleText": "图片裁剪",
+  "disableScroll": true,
+  "usingComponents": {
+    "van-button": "@vant/weapp/button/index",
+    "van-icon": "@vant/weapp/icon/index",
+    "van-toast": "@vant/weapp/toast/index"
+  }
+}
\ No newline at end of file
diff --git a/src/patient/pages/imageCrop/index.scss b/src/patient/pages/imageCrop/index.scss
new file mode 100644
index 0000000..8a5dd70
--- /dev/null
+++ b/src/patient/pages/imageCrop/index.scss
@@ -0,0 +1,97 @@
+page {
+  background-color: #1a1a1a;
+  height: 100vh;
+  overflow: hidden;
+}
+
+.container {
+  height: 100vh;
+  display: flex;
+  flex-direction: column;
+  padding: 30rpx;
+}
+
+.crop-wrapper {
+  flex: 1;
+  display: flex;
+  align-items: center;
+  justify-content: center;
+}
+
+.crop-inner {
+  position: relative;
+}
+
+.crop-area {
+  position: relative;
+  overflow: hidden;
+  background-color: #000;
+}
+
+.source-image {
+  transform-origin: 0 0;
+}
+
+.crop-frame {
+  position: absolute;
+  top: 0;
+  left: 0;
+  pointer-events: none;
+  border: 2rpx solid rgba(255, 255, 255, 0.5);
+  box-shadow: 0 0 0 9999rpx rgba(0, 0, 0, 0.5);
+}
+
+.frame-corner {
+  position: absolute;
+  width: 40rpx;
+  height: 40rpx;
+  border: 4rpx solid #fff;
+}
+
+.left-top {
+  top: 0;
+  left: 0;
+  border-right: none;
+  border-bottom: none;
+}
+
+.right-top {
+  top: 0;
+  right: 0;
+  border-left: none;
+  border-bottom: none;
+}
+
+.left-bottom {
+  bottom: 0;
+  left: 0;
+  border-right: none;
+  border-top: none;
+}
+
+.right-bottom {
+  bottom: 0;
+  right: 0;
+  border-left: none;
+  border-top: none;
+}
+
+.tip-text {
+  display: flex;
+  align-items: center;
+  justify-content: center;
+  gap: 8rpx;
+  padding: 30rpx 0;
+  font-size: 24rpx;
+  color: #999;
+}
+
+.action-buttons {
+  padding: 20rpx 0;
+}
+
+.crop-canvas {
+  position: fixed;
+  left: -9999px;
+  top: -9999px;
+}
diff --git a/src/patient/pages/imageCrop/index.ts b/src/patient/pages/imageCrop/index.ts
new file mode 100644
index 0000000..10cbcc5
--- /dev/null
+++ b/src/patient/pages/imageCrop/index.ts
@@ -0,0 +1,252 @@
+import Toast from '@vant/weapp/toast/toast'
+
+interface TouchPoint {
+  x: number
+  y: number
+}
+
+Page({
+  data: {
+    imageSrc: '',
+    imgWidth: 0,
+    imgHeight: 0,
+    imgX: 0,
+    imgY: 0,
+    scale: 1,
+    minScale: 0.5,
+    maxScale: 4,
+    cropSize: 280,
+    originScale: 1,
+    lastTouches: [] as TouchPoint[],
+  },
+
+  onLoad(options: { imageSrc?: string }) {
+    const systemInfo = wx.getSystemInfoSync()
+    const cropSize = Math.min(systemInfo.windowWidth - 60, 350)
+    this.setData({ cropSize })
+
+    if (options.imageSrc) {
+      this.setData({ imageSrc: decodeURIComponent(options.imageSrc) })
+    }
+    else {
+      this.chooseImage()
+    }
+  },
+
+  chooseImage() {
+    wx.chooseMedia({
+      count: 1,
+      mediaType: ['image'],
+      sourceType: ['album', 'camera'],
+      success: (res) => {
+        if (res.tempFiles.length > 0) {
+          this.initImage(res.tempFiles[0].tempFilePath)
+        }
+      },
+      fail: () => {
+        Toast('请先选择图片')
+        wx.navigateBack()
+      },
+    })
+  },
+
+  initImage(src: string) {
+    wx.getImageInfo({
+      src,
+      success: (res) => {
+        const { width, height } = res
+        const { cropSize } = this.data
+
+        const scaleX = cropSize / width
+        const scaleY = cropSize / height
+        const scale = Math.max(scaleX, scaleY)
+
+        const imgWidth = width * scale
+        const imgHeight = height * scale
+        const imgX = (cropSize - imgWidth) / 2
+        const imgY = (cropSize - imgHeight) / 2
+
+        this.setData({
+          imageSrc: src,
+          imgWidth,
+          imgHeight,
+          imgX,
+          imgY,
+          scale: 1,
+          originScale: 1,
+        })
+      },
+      fail: () => {
+        Toast('图片加载失败')
+      },
+    })
+  },
+
+  onTouchStart(e: WechatMiniprogram.TouchEvent) {
+    const touches = e.touches
+    if (touches.length === 1) {
+      this.setData({
+        lastTouches: [{ x: touches[0].clientX, y: touches[0].clientY }],
+      })
+    }
+    else if (touches.length === 2) {
+      const lastTouches = this.data.lastTouches
+      if (lastTouches.length < 2) {
+        this.setData({
+          lastTouches: [
+            { x: touches[0].clientX, y: touches[0].clientY },
+            { x: touches[1].clientX, y: touches[1].clientY },
+          ],
+        })
+      }
+    }
+  },
+
+  onTouchMove(e: WechatMiniprogram.TouchEvent) {
+    const touches = e.touches
+
+    if (touches.length === 1) {
+      const lastTouches = this.data.lastTouches
+      if (lastTouches.length === 1) {
+        const dx = touches[0].clientX - lastTouches[0].x
+        const dy = touches[0].clientY - lastTouches[0].y
+
+        this.setData({
+          imgX: this.data.imgX + dx,
+          imgY: this.data.imgY + dy,
+          lastTouches: [{ x: touches[0].clientX, y: touches[0].clientY }],
+        })
+      }
+    }
+    else if (touches.length === 2) {
+      const lastTouches = this.data.lastTouches
+      if (lastTouches.length === 2) {
+        const currentDist = Math.hypot(
+          touches[0].clientX - touches[1].clientX,
+          touches[0].clientY - touches[1].clientY,
+        )
+        const lastDist = Math.hypot(
+          lastTouches[0].x - lastTouches[1].x,
+          lastTouches[0].y - lastTouches[1].y,
+        )
+
+        let newScale = this.data.scale * (currentDist / lastDist)
+        newScale = Math.max(this.data.minScale, Math.min(this.data.maxScale, newScale))
+
+        const centerX = (touches[0].clientX + touches[1].clientX) / 2
+        const centerY = (touches[0].clientY + touches[1].clientY) / 2
+        const lastCenterX = (lastTouches[0].x + lastTouches[1].x) / 2
+        const lastCenterY = (lastTouches[0].y + lastTouches[1].y) / 2
+
+        const dx = centerX - lastCenterX
+        const dy = centerY - lastCenterY
+
+        const imgCenterX = this.data.imgX + (this.data.imgWidth * this.data.scale) / 2
+        const imgCenterY = this.data.imgY + (this.data.imgHeight * this.data.scale) / 2
+
+        const newImgX = imgCenterX - (this.data.imgWidth * newScale) / 2
+        const newImgY = imgCenterY - (this.data.imgHeight * newScale) / 2
+
+        this.setData({
+          scale: newScale,
+          imgX: newImgX + dx,
+          imgY: newImgY + dy,
+          lastTouches: [
+            { x: touches[0].clientX, y: touches[0].clientY },
+            { x: touches[1].clientX, y: touches[1].clientY },
+          ],
+        })
+      }
+    }
+  },
+
+  onTouchEnd() {
+    this.setData({ lastTouches: [] })
+  },
+
+  chooseNewImage() {
+    wx.chooseMedia({
+      count: 1,
+      mediaType: ['image'],
+      sourceType: ['album', 'camera'],
+      success: (res) => {
+        if (res.tempFiles.length > 0) {
+          this.initImage(res.tempFiles[0].tempFilePath)
+        }
+      },
+    })
+  },
+
+  saveCroppedImage() {
+    Toast.loading({ message: '裁剪中...', forbidClick: true })
+
+    const { imageSrc, imgWidth, imgHeight, imgX, imgY, scale, cropSize } = this.data
+
+    const query = wx.createSelectorQuery()
+    query
+      .select('#cropCanvas')
+      .fields({ node: true, size: true })
+      .exec((res) => {
+        if (!res[0]) {
+          Toast.clear()
+          Toast('裁剪失败')
+          return
+        }
+
+        const canvas = res[0].node
+        const ctx = canvas.getContext('2d')
+        const pixelRatio = wx.getWindowInfo().pixelRatio
+
+        canvas.width = cropSize * pixelRatio
+        canvas.height = cropSize * pixelRatio
+
+        ctx.fillStyle = '#ffffff'
+        ctx.fillRect(0, 0, canvas.width, canvas.height)
+
+        const img = canvas.createImage()
+        img.src = imageSrc
+
+        img.onload = () => {
+          const sx = (-imgX / scale) * pixelRatio
+          const sy = (-imgY / scale) * pixelRatio
+          const sWidth = (imgWidth / scale) * pixelRatio
+          const sHeight = (imgHeight / scale) * pixelRatio
+
+          ctx.drawImage(img, sx, sy, sWidth, sHeight, 0, 0, canvas.width, canvas.height)
+
+          wx.canvasToTempFilePath({
+            canvas,
+            x: 0,
+            y: 0,
+            width: canvas.width,
+            height: canvas.height,
+            destWidth: cropSize,
+            destHeight: cropSize,
+            fileType: 'png',
+            quality: 1,
+            success: (result) => {
+              Toast.clear()
+              wx.saveImageToPhotosAlbum({
+                filePath: result.tempFilePath,
+                success: () => {
+                  Toast.success('保存成功')
+                },
+                fail: () => {
+                  Toast.fail('保存失败，请检查权限')
+                },
+              })
+            },
+            fail: () => {
+              Toast.clear()
+              Toast('裁剪失败')
+            },
+          })
+        }
+
+        img.onerror = () => {
+          Toast.clear()
+          Toast('图片加载失败')
+        }
+      })
+  },
+})
diff --git a/src/patient/pages/imageCrop/index.wxml b/src/patient/pages/imageCrop/index.wxml
new file mode 100644
index 0000000..4c9a2dc
--- /dev/null
+++ b/src/patient/pages/imageCrop/index.wxml
@@ -0,0 +1,41 @@
+<van-toast id="van-toast" />
+
+<view class="container">
+  <view class="crop-wrapper">
+    <view class="crop-inner">
+      <view class="crop-area" style="width: {{cropSize}}px; height: {{cropSize}}px;">
+        <image
+          class="source-image"
+          src="{{imageSrc}}"
+          style="width: {{imgWidth}}px; height: {{imgHeight}}px; transform: translate({{imgX}}px, {{imgY}}px) scale({{scale}});"
+          bindtouchstart="onTouchStart"
+          bindtouchmove="onTouchMove"
+          bindtouchend="onTouchEnd"
+        />
+      </view>
+
+      <view class="crop-frame" style="width: {{cropSize}}px; height: {{cropSize}}px;">
+        <view class="frame-corner left-top"></view>
+        <view class="frame-corner right-top"></view>
+        <view class="frame-corner left-bottom"></view>
+        <view class="frame-corner right-bottom"></view>
+      </view>
+    </view>
+  </view>
+
+  <view class="tip-text">
+    <van-icon name="info-o" size="14px" color="#999" />
+    <text>移动和缩放图片，调整裁剪区域</text>
+  </view>
+
+  <view class="action-buttons">
+    <van-button type="default" round block bindtap="chooseNewImage">
+      重新选择图片
+    </van-button>
+    <van-button type="primary" round block custom-style="margin-top: 20rpx;" bindtap="saveCroppedImage">
+      保存裁剪图片
+    </van-button>
+  </view>
+</view>
+
+<canvas type="2d" id="cropCanvas" class="crop-canvas" style="width: {{cropSize}}px; height: {{cropSize}}px;"></canvas>
diff --git a/src/patient/pages/imageMerge/index.json b/src/patient/pages/imageMerge/index.json
new file mode 100644
index 0000000..9fad963
--- /dev/null
+++ b/src/patient/pages/imageMerge/index.json
@@ -0,0 +1,10 @@
+{
+  "navigationBarTitleText": "图片拼接",
+  "usingComponents": {
+    "van-button": "@vant/weapp/button/index",
+    "van-icon": "@vant/weapp/icon/index",
+    "van-toast": "@vant/weapp/toast/index",
+    "van-dialog": "@vant/weapp/dialog/index",
+    "van-loading": "@vant/weapp/loading/index"
+  }
+}
diff --git a/src/patient/pages/imageMerge/index.scss b/src/patient/pages/imageMerge/index.scss
new file mode 100644
index 0000000..56302cb
--- /dev/null
+++ b/src/patient/pages/imageMerge/index.scss
@@ -0,0 +1,187 @@
+page {
+  background-color: #f5f5f5;
+  min-height: 100vh;
+}
+
+.container {
+  padding: 30rpx;
+}
+
+.header {
+  text-align: center;
+  margin-bottom: 40rpx;
+
+  .title {
+    display: block;
+    font-size: 40rpx;
+    font-weight: bold;
+    color: #333;
+    margin-bottom: 10rpx;
+  }
+
+  .subtitle {
+    display: block;
+    font-size: 26rpx;
+    color: #999;
+  }
+}
+
+.upload-section {
+  background-color: #fff;
+  border-radius: 16rpx;
+  padding: 30rpx;
+  margin-bottom: 30rpx;
+}
+
+.section-title {
+  font-size: 30rpx;
+  font-weight: 500;
+  color: #333;
+  margin-bottom: 20rpx;
+}
+
+.image-grid {
+  display: flex;
+  flex-wrap: wrap;
+  gap: 20rpx;
+}
+
+.image-item {
+  position: relative;
+  width: calc((100% - 40rpx) / 3);
+  aspect-ratio: 1;
+  border-radius: 12rpx;
+  overflow: hidden;
+
+  .preview-img {
+    width: 100%;
+    height: 100%;
+  }
+
+  .delete-btn {
+    position: absolute;
+    top: 8rpx;
+    right: 8rpx;
+    width: 40rpx;
+    height: 40rpx;
+    background-color: rgba(0, 0, 0, 0.5);
+    border-radius: 50%;
+    display: flex;
+    align-items: center;
+    justify-content: center;
+  }
+}
+
+.add-btn {
+  width: calc((100% - 40rpx) / 3);
+  aspect-ratio: 1;
+  border: 2rpx dashed #ddd;
+  border-radius: 12rpx;
+  display: flex;
+  flex-direction: column;
+  align-items: center;
+  justify-content: center;
+  background-color: #fafafa;
+
+  .add-text {
+    font-size: 24rpx;
+    color: #999;
+    margin-top: 10rpx;
+  }
+}
+
+.action-section {
+  margin-bottom: 30rpx;
+}
+
+.result-section {
+  background-color: #fff;
+  border-radius: 16rpx;
+  padding: 30rpx;
+  margin-bottom: 30rpx;
+}
+
+.result-preview {
+  position: relative;
+  border-radius: 12rpx;
+  overflow: hidden;
+  background-color: #f5f5f5;
+
+  .merged-img {
+    width: 100%;
+    display: block;
+  }
+
+  .preview-hint {
+    position: absolute;
+    bottom: 0;
+    left: 0;
+    right: 0;
+    padding: 20rpx;
+    background: linear-gradient(transparent, rgba(0, 0, 0, 0.5));
+    color: #fff;
+    font-size: 24rpx;
+    text-align: center;
+  }
+}
+
+.tips {
+  display: flex;
+  align-items: flex-start;
+  justify-content: center;
+  padding: 40rpx;
+  text-align: center;
+
+  text {
+    font-size: 24rpx;
+    color: #999;
+    margin-left: 10rpx;
+    line-height: 1.5;
+  }
+}
+
+// 隐藏的Canvas
+.merge-canvas {
+  position: fixed;
+  left: -9999px;
+  top: -9999px;
+  width: 1px;
+  height: 1px;
+}
+
+// 预览弹窗
+.preview-modal {
+  position: fixed;
+  top: 0;
+  left: 0;
+  right: 0;
+  bottom: 0;
+  background-color: rgba(0, 0, 0, 0.9);
+  z-index: 1000;
+  display: flex;
+  align-items: center;
+  justify-content: center;
+
+  .preview-content {
+    width: 90%;
+    max-height: 80%;
+    overflow: auto;
+
+    .full-img {
+      width: 100%;
+    }
+  }
+
+  .close-btn {
+    position: absolute;
+    top: 40rpx;
+    right: 40rpx;
+    width: 60rpx;
+    height: 60rpx;
+    background-color: rgba(255, 255, 255, 0.2);
+    border-radius: 50%;
+    display: flex;
+    align-items: center;
+    justify-content: center;
+  }
+}
diff --git a/src/patient/pages/imageMerge/index.ts b/src/patient/pages/imageMerge/index.ts
new file mode 100644
index 0000000..26f3ddc
--- /dev/null
+++ b/src/patient/pages/imageMerge/index.ts
@@ -0,0 +1,266 @@
+import Toast from '@vant/weapp/toast/toast'
+
+const app = getApp<IAppOption>()
+
+Page({
+  data: {
+    imageList: [] as string[],
+    imageTimes: [] as string[], // 存储每张图片的拍摄时间
+    mergedImage: '',
+    canvasWidth: 0,
+    canvasHeight: 0,
+    isLoading: false,
+    previewShow: false,
+  },
+
+  onLoad() {
+    // 页面加载
+  },
+
+  // 选择图片
+  chooseImage() {
+    const remainingCount = 9 - this.data.imageList.length
+    if (remainingCount <= 0) {
+      Toast('最多只能选择9张图片')
+      return
+    }
+
+    wx.chooseMedia({
+      count: remainingCount,
+      mediaType: ['image'],
+      sourceType: ['album', 'camera'],
+      success: (res) => {
+        const newImages = res.tempFiles.map((file) => file.tempFilePath)
+        // 获取当前时间作为图片时间
+        const now = new Date()
+        const timeStr = this.formatTime(now)
+        const newTimes = res.tempFiles.map(() => timeStr)
+
+        this.setData({
+          imageList: [...this.data.imageList, ...newImages],
+          imageTimes: [...this.data.imageTimes, ...newTimes],
+        })
+      },
+    })
+  },
+
+  // 格式化时间
+  formatTime(date: Date): string {
+    const year = date.getFullYear()
+    const month = String(date.getMonth() + 1).padStart(2, '0')
+    const day = String(date.getDate()).padStart(2, '0')
+    const hours = String(date.getHours()).padStart(2, '0')
+    const minutes = String(date.getMinutes()).padStart(2, '0')
+    return `${year}-${month}-${day} ${hours}:${minutes}`
+  },
+
+  // 删除图片
+  deleteImage(e: WechatMiniprogram.TouchEvent) {
+    const index = e.currentTarget.dataset.index
+    const newList = [...this.data.imageList]
+    const newTimes = [...this.data.imageTimes]
+    newList.splice(index, 1)
+    newTimes.splice(index, 1)
+    this.setData({
+      imageList: newList,
+      imageTimes: newTimes,
+    })
+  },
+
+  // 预览单张图片
+  previewImage(e: WechatMiniprogram.TouchEvent) {
+    const index = e.currentTarget.dataset.index
+    wx.previewImage({
+      current: this.data.imageList[index],
+      urls: this.data.imageList,
+    })
+  },
+
+  // 拼接图片
+  async mergeImages() {
+    if (this.data.imageList.length < 2) {
+      Toast('至少需要2张图片才能拼接')
+      return
+    }
+
+    this.setData({ isLoading: true })
+
+    try {
+      const mergedImage = await this.drawImagesOnCanvas()
+      this.setData({
+        mergedImage,
+        isLoading: false,
+      })
+      Toast('拼接成功')
+    } catch (error) {
+      console.error('拼接失败:', error)
+      this.setData({ isLoading: false })
+      Toast('拼接失败，请重试')
+    }
+  },
+
+  // 在Canvas上绘制图片（纵向拼接）
+  drawImagesOnCanvas(): Promise<string> {
+    return new Promise((resolve, reject) => {
+      const { imageList, imageTimes } = this.data
+      const query = wx.createSelectorQuery()
+      query
+        .select('#mergeCanvas')
+        .fields({ node: true, size: true })
+        .exec((res) => {
+          if (!res[0]) {
+            reject(new Error('Canvas not found'))
+            return
+          }
+
+          const canvas = res[0].node
+          const ctx = canvas.getContext('2d')
+
+          // 设置画布背景为白色
+          ctx.fillStyle = '#ffffff'
+
+          // 加载所有图片并获取尺寸
+          Promise.all(
+            imageList.map((src) => this.getImageInfo(src))
+          ).then((imageInfos) => {
+            // 计算目标宽度（取最大宽度或固定宽度）
+            const targetWidth = 750 // 固定宽度为750rpx对应的像素
+            const pixelRatio = wx.getWindowInfo().pixelRatio
+            const canvasWidth = Math.floor(targetWidth * pixelRatio / 2) // 转换为实际像素
+
+            // 底部时间文字区域高度
+            const timeAreaHeight = 60
+            // 右下角水印区域高度
+            const watermarkHeight = 80
+
+            // 计算每张图片缩放后的高度
+            let totalHeight = 0
+            const scaledHeights: number[] = []
+
+            imageInfos.forEach((info) => {
+              const scale = canvasWidth / info.width
+              const scaledHeight = Math.floor(info.height * scale)
+              scaledHeights.push(scaledHeight)
+              totalHeight += scaledHeight + timeAreaHeight
+            })
+
+            // 添加水印区域高度
+            totalHeight += watermarkHeight
+
+            // 设置画布尺寸
+            canvas.width = canvasWidth
+            canvas.height = totalHeight
+
+            // 填充白色背景
+            ctx.fillRect(0, 0, canvasWidth, totalHeight)
+
+            // 绘制所有图片
+            let currentY = 0
+            let loadedCount = 0
+
+            imageInfos.forEach((info, index) => {
+              const img = canvas.createImage()
+              img.src = info.path
+              img.onload = () => {
+                // 绘制图片
+                ctx.drawImage(img, 0, currentY, canvasWidth, scaledHeights[index])
+
+                // 绘制时间文字（图片底部中间）
+                const timeY = currentY + scaledHeights[index] + 40
+                ctx.fillStyle = '#666666'
+                ctx.font = '24px sans-serif'
+                ctx.textAlign = 'center'
+                ctx.fillText(imageTimes[index] || this.formatTime(new Date()), canvasWidth / 2, timeY)
+
+                currentY += scaledHeights[index] + timeAreaHeight
+                loadedCount++
+
+                if (loadedCount === imageInfos.length) {
+                  // 所有图片绘制完成，绘制右下角水印
+                  ctx.fillStyle = '#999999'
+                  ctx.font = '28px sans-serif'
+                  ctx.textAlign = 'right'
+                  ctx.fillText('TED关爱小助手', canvasWidth - 30, totalHeight - 30)
+
+                  // 导出图片
+                  wx.canvasToTempFilePath({
+                    canvas,
+                    success: (result) => {
+                      resolve(result.tempFilePath)
+                    },
+                    fail: reject,
+                  })
+                }
+              }
+              img.onerror = () => {
+                reject(new Error(`Failed to load image: ${info.path}`))
+              }
+            })
+          }).catch(reject)
+        })
+    })
+  },
+
+  // 获取图片信息
+  getImageInfo(src: string): Promise<WechatMiniprogram.GetImageInfoSuccessCallbackResult> {
+    return new Promise((resolve, reject) => {
+      wx.getImageInfo({
+        src,
+        success: resolve,
+        fail: reject,
+      })
+    })
+  },
+
+  // 预览拼接结果
+  previewMergedImage() {
+    if (!this.data.mergedImage) return
+    this.setData({ previewShow: true })
+  },
+
+  // 关闭预览
+  closePreview() {
+    this.setData({ previewShow: false })
+  },
+
+  // 保存图片到相册
+  saveImage() {
+    if (!this.data.mergedImage) {
+      Toast('请先拼接图片')
+      return
+    }
+
+    wx.saveImageToPhotosAlbum({
+      filePath: this.data.mergedImage,
+      success: () => {
+        Toast('保存成功')
+      },
+      fail: (err) => {
+        console.error('保存失败:', err)
+        if (err.errMsg.includes('auth')) {
+          wx.showModal({
+            title: '提示',
+            content: '需要授权保存到相册权限',
+            success: (res) => {
+              if (res.confirm) {
+                wx.openSetting()
+              }
+            },
+          })
+        } else {
+          Toast('保存失败')
+        }
+      },
+    })
+  },
+
+  // 重新选择
+  reset() {
+    this.setData({
+      imageList: [],
+      imageTimes: [],
+      mergedImage: '',
+      previewShow: false,
+    })
+  },
+})
diff --git a/src/patient/pages/imageMerge/index.wxml b/src/patient/pages/imageMerge/index.wxml
new file mode 100644
index 0000000..4408e23
--- /dev/null
+++ b/src/patient/pages/imageMerge/index.wxml
@@ -0,0 +1,108 @@
+<van-toast id="van-toast" />
+
+<view class="container">
+  <!-- 标题 -->
+  <view class="header">
+    <text class="title">图片拼接工具</text>
+    <text class="subtitle">选择多张图片，自动拼接成长图</text>
+  </view>
+
+  <!-- 图片上传区域 -->
+  <view class="upload-section">
+    <view class="section-title">
+      <text>选择图片（{{imageList.length}}/9）</text>
+    </view>
+
+    <view class="image-grid">
+      <!-- 已选择的图片 -->
+      <view
+        class="image-item"
+        wx:for="{{imageList}}"
+        wx:key="index"
+        data-index="{{index}}"
+        bindtap="previewImage"
+      >
+        <image class="preview-img" src="{{item}}" mode="aspectFill" />
+        <view class="delete-btn" catchtap="deleteImage" data-index="{{index}}">
+          <van-icon name="cross" size="12px" color="#fff" />
+        </view>
+      </view>
+
+      <!-- 添加按钮 -->
+      <view class="add-btn" bindtap="chooseImage" wx:if="{{imageList.length < 9}}">
+        <van-icon name="plus" size="32px" color="#999" />
+        <text class="add-text">添加图片</text>
+      </view>
+    </view>
+  </view>
+
+  <!-- 操作按钮 -->
+  <view class="action-section" wx:if="{{imageList.length > 0}}">
+    <van-button
+      type="primary"
+      block
+      round
+      loading="{{isLoading}}"
+      loading-text="拼接中..."
+      disabled="{{imageList.length < 2}}"
+      bindtap="mergeImages"
+    >
+      {{imageList.length < 2 ? '至少选择2张图片' : '开始拼接'}}
+    </van-button>
+
+    <van-button
+      type="default"
+      block
+      round
+      custom-style="margin-top: 20rpx;"
+      bindtap="reset"
+    >
+      重新选择
+    </van-button>
+  </view>
+
+  <!-- 拼接结果预览 -->
+  <view class="result-section" wx:if="{{mergedImage}}">
+    <view class="section-title">
+      <text>拼接结果</text>
+    </view>
+
+    <view class="result-preview" bindtap="previewMergedImage">
+      <image class="merged-img" src="{{mergedImage}}" mode="widthFix" />
+      <view class="preview-hint">点击预览大图</view>
+    </view>
+
+    <van-button
+      type="primary"
+      block
+      round
+      custom-style="margin-top: 30rpx;"
+      bindtap="saveImage"
+    >
+      保存到相册
+    </van-button>
+  </view>
+
+  <!-- 提示信息 -->
+  <view class="tips" wx:if="{{imageList.length === 0}}">
+    <van-icon name="info-o" size="16px" color="#999" />
+    <text>支持上传2-9张图片，建议图片宽度相近以获得更好的拼接效果</text>
+  </view>
+</view>
+
+<!-- Canvas（隐藏）用于图片拼接 -->
+<canvas
+  type="2d"
+  id="mergeCanvas"
+  class="merge-canvas"
+></canvas>
+
+<!-- 全屏预览弹窗 -->
+<view class="preview-modal" wx:if="{{previewShow}}" bindtap="closePreview">
+  <view class="preview-content">
+    <image class="full-img" src="{{mergedImage}}" mode="widthFix" />
+  </view>
+  <view class="close-btn">
+    <van-icon name="cross" size="24px" color="#fff" />
+  </view>
+</view>
diff --git a/src/patient/pages/qolReport/index.ts b/src/patient/pages/qolReport/index.ts
index 169c295..fde8e18 100644
--- a/src/patient/pages/qolReport/index.ts
+++ b/src/patient/pages/qolReport/index.ts
@@ -103,9 +103,7 @@ Page({
       .exec()
   },
   handleChangeType(e?: WechatMiniprogram.CustomEvent) {
-    if (e) {
-      app.mpBehavior({ PageName: 'BTN_QolReportTab' })
-    }
+    app.mpBehavior({ PageName: 'BTN_QolReportTab' })
     let type = ''
     if (e) {
       // Tab 已移除"日"，现仅有"月度/年度"