diff --git a/src/views/trials/trials-panel/reading/dicoms/components/IRecist/QuestionList.vue b/src/views/trials/trials-panel/reading/dicoms/components/IRecist/QuestionList.vue
index 6f9d65d7..ff0df539 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/IRecist/QuestionList.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/IRecist/QuestionList.vue
@@ -80,60 +80,81 @@
                         placement="bottom">
                         <i class="el-icon-warning" style="color:#ff9800" />
                       </el-tooltip>
-                      <div style="position: absolute;left: 62px;top: 2px;">
-                        <!-- white-space: nowrap;overflow: hidden;text-overflow: ellipsis; -->
-                        <div style="font-size: 11px;width:220px;height: 30px;">
-                          <div v-if="item.TableQuestions.Answers[i].lesionPart"
-                            style="margin-left:10px;display: inline-block; white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:90px">
-                            <el-tooltip v-if="!!item.TableQuestions.Answers[i].lesionPart" class="item" effect="dark"
-                              :content="item.TableQuestions.Answers[i].lesionPart" placement="bottom">
-                              <span>{{ item.TableQuestions.Answers[i].lesionPart }}</span>
-                            </el-tooltip>
+                      <div
+                        :style="{ position: 'absolute', left: item.LesionType === 1 && readingTaskState < 2 ? '58px' : '50px', top: '2px' }">
+                        <div
+                          style="font-size: 11px;width:210px;height: 30px;display: flex;justify-content: flex-start;flex-wrap: nowrap;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;">
+                          <el-tooltip
+                            v-if="item.TableQuestions.Answers[i].SplitOrMergeType === '1' || item.TableQuestions.Answers[i].SplitOrMergeType === '3'"
+                            class="item" effect="dark"
+                            :content="`${$t('trials:reading:message:fused')}${item.TableQuestions.Answers[i].SplitOrMergeLesionName}`"
+                            placement="bottom">
+                            <div
+                              v-if="item.TableQuestions.Answers[i].SplitOrMergeType === '1' || item.TableQuestions.Answers[i].SplitOrMergeType === '3'">
+                              <span class="login-cycle"
+                                :style="`background-color:${$GuidToColor(item.TableQuestions.Answers[i].MergeRowId)}`" />
+                            </div>
+                          </el-tooltip>
+                          <div v-if="item.TableQuestions.Answers[i].SplitOrMergeType === '4'">
+                            <span class="login-cycle"
+                              :style="`background-color:${$GuidToColor(item.TableQuestions.Answers[i].RowId)}`" />
                           </div>
-                          <div
-                            style="display: inline-block;margin-left:5px;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:50px">
-                            <span v-if="item.LesionType === 0">
-                              {{ $fd('TargetState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
-                            </span>
-                            <span v-else-if="item.LesionType === 1">
-                              {{ $fd('NoTargetState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
-                            </span>
-                            <span v-else-if="item.LesionType === 2">
-                              {{ $fd('NewLesionState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
-                            </span>
-                            <span v-else-if="item.LesionType === 5">
-                              {{ $fd('NewTargetLesionState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
-                            </span>
-                            <span v-else-if="item.LesionType === 6">
-                              {{ $fd('NewNoTargetLesionState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
-                            </span>
-                            <span v-else-if="item.LesionType === 7">
-                              {{ $fd('OtherPreviousNewLesionState',
-                                parseInt(item.TableQuestions.Answers[i].lesionState))
-                              }}
-                            </span>
-                            <span v-else-if="item.LesionType === 8">
-                              {{
-                                $fd('NewLesionAfterTriggeringiRECSITState',
+                          <!-- white-space: nowrap;overflow: hidden;text-overflow: ellipsis; -->
+                          <div style="font-size: 11px;width:220px;height: 30px;">
+                            <div v-if="item.TableQuestions.Answers[i].lesionPart"
+                              style="margin-left:10px;display: inline-block; white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:90px">
+                              <el-tooltip v-if="!!item.TableQuestions.Answers[i].lesionPart" class="item" effect="dark"
+                                :content="item.TableQuestions.Answers[i].lesionPart" placement="bottom">
+                                <span>{{ item.TableQuestions.Answers[i].lesionPart }}</span>
+                              </el-tooltip>
+                            </div>
+                            <div
+                              style="display: inline-block;margin-left:5px;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:50px">
+                              <span v-if="item.LesionType === 0">
+                                {{ $fd('TargetState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
+                              </span>
+                              <span v-else-if="item.LesionType === 1">
+                                {{ $fd('NoTargetState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
+                              </span>
+                              <span v-else-if="item.LesionType === 2">
+                                {{ $fd('NewLesionState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
+                              </span>
+                              <span v-else-if="item.LesionType === 5">
+                                {{ $fd('NewTargetLesionState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
+                              </span>
+                              <span v-else-if="item.LesionType === 6">
+                                {{ $fd('NewNoTargetLesionState', parseInt(item.TableQuestions.Answers[i].lesionState))
+                                }}
+                              </span>
+                              <span v-else-if="item.LesionType === 7">
+                                {{ $fd('OtherPreviousNewLesionState',
                                   parseInt(item.TableQuestions.Answers[i].lesionState))
-                              }}
-                            </span>
-                          </div>
-                          <div
-                            style="display: inline-block;margin-left:5px;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:60px">
-                            <template
-                              v-if="item.TableQuestions.Answers[i].isLymphLesion && !isNaN(parseInt(item.TableQuestions.Answers[i].lesionShort))">
-                              {{ item.TableQuestions.Answers[i].lesionShort }}mm
-                            </template>
-                            <template
-                              v-else-if="!item.TableQuestions.Answers[i].isLymphLesion && !isNaN(parseInt(item.TableQuestions.Answers[i].lesionLength))">
-                              {{ item.TableQuestions.Answers[i].lesionLength }}mm
-                            </template>
+                                }}
+                              </span>
+                              <span v-else-if="item.LesionType === 8">
+                                {{
+                                  $fd('NewLesionAfterTriggeringiRECSITState',
+                                    parseInt(item.TableQuestions.Answers[i].lesionState))
+                                }}
+                              </span>
+                            </div>
+                            <div
+                              style="display: inline-block;margin-left:5px;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:60px">
+                              <template
+                                v-if="item.TableQuestions.Answers[i].isLymphLesion && !isNaN(parseInt(item.TableQuestions.Answers[i].lesionShort))">
+                                {{ item.TableQuestions.Answers[i].lesionShort }}mm
+                              </template>
+                              <template
+                                v-else-if="!item.TableQuestions.Answers[i].isLymphLesion && !isNaN(parseInt(item.TableQuestions.Answers[i].lesionLength))">
+                                {{ item.TableQuestions.Answers[i].lesionLength }}mm
+                              </template>
+                            </div>
                           </div>
                         </div>
+
                       </div>
                       <div
-                        v-if="((item.LesionType === 0 && parseInt(item.TableQuestions.Answers[i].lesionState) === 0) || (item.LesionType === 1 && [0, 1, 4, 5].includes(parseInt(item.TableQuestions.Answers[i].lesionState))) || (item.LesionType === 2 && parseInt(item.TableQuestions.Answers[i].lesionState) === 0) || (item.LesionType === 5 && parseInt(item.TableQuestions.Answers[i].lesionState) === 1) || (item.LesionType === 6 && [0, 1].includes(parseInt(item.TableQuestions.Answers[i].lesionState))) || (item.LesionType === 7 && parseInt(item.TableQuestions.Answers[i].lesionState) === 0) || (item.LesionType === 8 && parseInt(item.TableQuestions.Answers[i].lesionState) === 1)) && item.TableQuestions.Answers[i].IsCurrentTaskAdd === 'False'"
+                        v-if="((item.LesionType === 0 && [0, 1, 4].includes(parseInt(item.TableQuestions.Answers[i].lesionState))) || (item.LesionType === 0 && parseInt(item.TableQuestions.Answers[i].lesionState) === 0) || (item.LesionType === 1 && [0, 1, 4, 5].includes(parseInt(item.TableQuestions.Answers[i].lesionState))) || (item.LesionType === 2 && parseInt(item.TableQuestions.Answers[i].lesionState) === 0) || (item.LesionType === 5 && parseInt(item.TableQuestions.Answers[i].lesionState) === 1) || (item.LesionType === 6 && [0, 1].includes(parseInt(item.TableQuestions.Answers[i].lesionState))) || (item.LesionType === 7 && parseInt(item.TableQuestions.Answers[i].lesionState) === 0) || (item.LesionType === 8 && parseInt(item.TableQuestions.Answers[i].lesionState) === 1)) && item.TableQuestions.Answers[i].IsCurrentTaskAdd === 'False'"
                         style="position: absolute;right: 5px;top: 2px;transform: rotateY(180deg);">
                         <!-- 分裂 -->
                         <el-tooltip
@@ -142,6 +163,13 @@
                           <i class="iconfont icon-24gl-split" style="color:#fff;font-size: 16px;"
                             @click.stop="handleSplit(item.TableQuestions.Answers[i].RowId, item.Id)" />
                         </el-tooltip>
+                        <!-- 融合 -->
+                        <el-tooltip
+                          v-show="!!item.TableQuestions.Answers[i].RowId && item.TableQuestions.Answers[i].SplitOrMergeType !== '2' && ((item.LesionType === 0 && [0, 1, 4].includes(parseInt(item.TableQuestions.Answers[i].lesionState))))"
+                          class="item" :content="$t('trials:reading:button:merge')" placement="bottom">
+                          <i class="iconfont icon-24gl-merge" style="color:#fff;font-size: 16px;"
+                            @click.stop="handleMerge(item.TableQuestions.Answers[i], item.Id, item.OrderMark)" />
+                        </el-tooltip>
                       </div>
 
                     </div>
@@ -165,10 +193,35 @@
         </div>
       </template>
     </div>
+    <el-dialog v-if="merge.visible" v-loading="merge.loading" :visible.sync="merge.visible"
+      :close-on-click-modal="false" :title="$t('trials:reading:lugano:message:merge')" width="500px">
+      <div class="merge-table">
+        <div class="merge-label">
+          <label>{{ $t('trials:reading:lugano:label:currentLesion') }}</label>
+          <span>{{ mergeInfo.lesionName }}</span>
+          <span style="margin-left:10px">{{ mergeInfo.lesionPart }}</span>
+        </div>
+        <div class="merge-label"><label>{{ $t('trials:reading:lugano:label:selectLesion') }}</label></div>
+        <el-table :data="lesionData" style="width: 450px" size="small" height="200"
+          @selection-change="handleSelectionChange">
+          <el-table-column type="selection" width="45" />
+          <el-table-column prop="OrderMarkName" :label="$t('trials:reading:lugano:label:lesionNumber')" width="100" />
+          <el-table-column prop="Part" :label="$t('trials:reading:lugano:label:lesionLocation')" min-width="120"
+            show-overflow-tooltip />
+        </el-table>
+      </div>
+      <div slot="footer" style="text-align:right;">
+        <!-- 取消 -->
+        <el-button size="mini" @click="merge.visible = false">{{ $t('common:button:cancel') }}</el-button>
+        <!-- 确认 -->
+        <el-button type="primary" size="mini" :disabled="mergeList.length === 0" @click="confirmMerge">
+          {{ $t('common:button:confirm') }}</el-button>
+      </div>
+    </el-dialog>
   </div>
 </template>
 <script>
-import { splitLesion } from '@/api/trials'
+import { splitLesion, getCanMergeLesion, mergeLesion } from '@/api/trials'
 import { resetReadingTask } from '@/api/reading'
 import DicomEvent from './../DicomEvent'
 import store from '@/store'
@@ -224,7 +277,12 @@ export default {
       criterionType: null,
       subjectCode: '',
       isConvertedTask: null,
-      isFirstChangeTask: null
+      isFirstChangeTask: null,
+
+      merge: { visible: false, loading: false },
+      lesionData: [],
+      mergeInfo: {},
+      mergeList: []
     }
   },
   computed: {
@@ -280,6 +338,66 @@ export default {
     handleReadingChart(e) {
       this.$emit('handleReadingChart', e)
     },
+    // 融合
+    async handleMerge(answers, questionId, orderMark) {
+      this.lesionData = []
+      this.mergeList = []
+      this.merge.visible = true
+      this.mergeInfo.questionId = questionId
+      this.mergeInfo.mergeRowId = answers.RowId
+      this.mergeInfo.lesionName = this.getLesionName(orderMark, answers.RowIndex)
+      this.mergeInfo.lesionPart = answers.lesionPart
+      this.merge.loading = true
+      try {
+        const res = await getCanMergeLesion({ rowId: answers.RowId })
+        if (res.IsSuccess) {
+          this.lesionData = res.Result
+        }
+        this.merge.loading = false
+      } catch (e) {
+        console.log(e)
+        this.merge.loading = false
+      }
+    },
+    handleSelectionChange(val) {
+      this.mergeList = []
+      val.map(i => {
+        this.mergeList.push(i.RowId)
+      })
+    },
+    confirmMerge() {
+      // '融合后将无法撤销, 是否继续?'
+      this.$confirm(this.$t('trials:reading:lugano:warnning:fuse'), {
+        type: 'warning'
+      }).then(() => {
+        this.lesionMerge()
+      }).catch(() => {
+
+      })
+    },
+    async lesionMerge() {
+      this.merge.loading = true
+      try {
+        var params = {
+          visitTaskId: this.visitTaskId,
+          questionId: this.mergeInfo.questionId,
+          mergeMainRowId: this.mergeInfo.mergeRowId,
+          mergeRowIdList: this.mergeList
+        }
+        const res = await mergeLesion(params)
+        if (res.IsSuccess) {
+          this.merge.visible = false
+          DicomEvent.$emit('readingPageUpdate', {})
+          DicomEvent.$emit('getReportInfo', true)
+          DicomEvent.$emit('setMeasuredToolsPassive')
+          this.getReadingQuestionAndAnswer()
+        }
+        this.merge.loading = false
+      } catch (e) {
+        this.merge.loading = false
+        console.log(e)
+      }
+    },
     async initList() {
       var i = this.visitTaskList.findIndex(i => i.VisitTaskId === this.lastCanvasTaskId)
       if (i > -1) {
@@ -1181,6 +1299,70 @@ export default {
 }
 </script>
 <style lang="scss" scoped>
+.login-cycle {
+  width: 5px;
+  height: 5px;
+  display: inline-block;
+  background-color: #428bca;
+  border-radius: 50%;
+  margin-right: 2px;
+  margin-bottom: 2px;
+}
+
+.merge-table {
+  padding: 0 10px;
+
+  ::v-deep.el-table {
+    background-color: #1e1e1e !important;
+    color: #383838;
+  }
+
+  ::v-deep.el-table td.el-table__cell,
+  .el-table th.el-table__cell.is-leaf {
+    border-bottom: 1px solid #383838;
+  }
+
+  .el-table--border::after,
+  .el-table--group::after,
+  .el-table::before {
+    background-color: #1e1e1e;
+  }
+
+  ::v-deep.el-table__header-wrapper {
+    th {
+      background-color: #1e1e1e !important;
+      color: #dfdfdf;
+      border-bottom: 1px solid #383838;
+    }
+  }
+
+  ::v-deep.el-table__body-wrapper {
+    tr {
+      background-color: #1e1e1e !important;
+      color: #dfdfdf;
+    }
+
+    tr:hover>td {
+      background-color: #1e1e1e !important;
+    }
+  }
+
+  ::v-deep.el-table__empty-block {
+    background-color: #1e1e1e !important;
+  }
+
+  .merge-label {
+    color: #ddd;
+    font-size: 13px;
+    margin-bottom: 10px;
+
+    span {
+      font-size: 15px;
+      color: red;
+    }
+  }
+}
+
 .measurement-wrapper {
   height: 100%;
   overflow-y: auto;
diff --git a/src/views/trials/trials-panel/reading/dicoms/components/Recist/QuestionList.vue b/src/views/trials/trials-panel/reading/dicoms/components/Recist/QuestionList.vue
index 39730027..5680e32c 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/Recist/QuestionList.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/Recist/QuestionList.vue
@@ -68,43 +68,63 @@
                         placement="bottom">
                         <i class="el-icon-warning" style="color:#ff9800" />
                       </el-tooltip>
-                      <div style="position: absolute;left: 50px;top: 2px;">
-                        <!-- white-space: nowrap;overflow: hidden;text-overflow: ellipsis; -->
-                        <div style="font-size: 11px;width:220px;height: 30px;">
-                          <div v-if="item.TableQuestions.Answers[i].lesionPart"
-                            style="margin-left:10px;display: inline-block; white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:90px">
-                            <el-tooltip v-if="!!item.TableQuestions.Answers[i].lesionPart" class="item" effect="dark"
-                              :content="item.TableQuestions.Answers[i].lesionPart" placement="bottom">
-                              <span>{{ item.TableQuestions.Answers[i].lesionPart }}</span>
-                            </el-tooltip>
+                      <div
+                        :style="{ position: 'absolute', left: item.LesionType === 1 && readingTaskState < 2 ? '58px' : '50px', top: '2px' }">
+                        <div
+                          style="font-size: 11px;width:210px;height: 30px;display: flex;justify-content: flex-start;flex-wrap: nowrap;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;">
+                          <el-tooltip
+                            v-if="item.TableQuestions.Answers[i].SplitOrMergeType === '1' || item.TableQuestions.Answers[i].SplitOrMergeType === '3'"
+                            class="item" effect="dark"
+                            :content="`${$t('trials:reading:message:fused')}${item.TableQuestions.Answers[i].SplitOrMergeLesionName}`"
+                            placement="bottom">
+                            <div
+                              v-if="item.TableQuestions.Answers[i].SplitOrMergeType === '1' || item.TableQuestions.Answers[i].SplitOrMergeType === '3'">
+                              <span class="login-cycle"
+                                :style="`background-color:${$GuidToColor(item.TableQuestions.Answers[i].MergeRowId)}`" />
+                            </div>
+                          </el-tooltip>
+                          <div v-if="item.TableQuestions.Answers[i].SplitOrMergeType === '4'">
+                            <span class="login-cycle"
+                              :style="`background-color:${$GuidToColor(item.TableQuestions.Answers[i].RowId)}`" />
                           </div>
-                          <div
-                            style="display: inline-block;margin-left:5px;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:50px">
-                            <span v-if="item.LesionType === 0">
-                              {{ $fd('TargetState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
-                            </span>
-                            <span v-else-if="item.LesionType === 1">
-                              {{ $fd('NoTargetState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
-                            </span>
-                            <span v-else>
-                              {{ $fd('NewLesionState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
-                            </span>
-                          </div>
-                          <div
-                            style="display: inline-block;margin-left:5px;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:60px">
-                            <template
-                              v-if="item.TableQuestions.Answers[i].isLymphLesion && !isNaN(parseInt(item.TableQuestions.Answers[i].lesionShort))">
-                              {{ item.TableQuestions.Answers[i].lesionShort }}mm
-                            </template>
-                            <template
-                              v-else-if="!item.TableQuestions.Answers[i].isLymphLesion && !isNaN(parseInt(item.TableQuestions.Answers[i].lesionLength))">
-                              {{ item.TableQuestions.Answers[i].lesionLength }}mm
-                            </template>
+                          <!-- white-space: nowrap;overflow: hidden;text-overflow: ellipsis; -->
+                          <div style="font-size: 11px;width:220px;height: 30px;">
+                            <div v-if="item.TableQuestions.Answers[i].lesionPart"
+                              style="margin-left:10px;display: inline-block; white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:90px">
+                              <el-tooltip v-if="!!item.TableQuestions.Answers[i].lesionPart" class="item" effect="dark"
+                                :content="item.TableQuestions.Answers[i].lesionPart" placement="bottom">
+                                <span>{{ item.TableQuestions.Answers[i].lesionPart }}</span>
+                              </el-tooltip>
+                            </div>
+                            <div
+                              style="display: inline-block;margin-left:5px;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:50px">
+                              <span v-if="item.LesionType === 0">
+                                {{ $fd('TargetState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
+                              </span>
+                              <span v-else-if="item.LesionType === 1">
+                                {{ $fd('NoTargetState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
+                              </span>
+                              <span v-else>
+                                {{ $fd('NewLesionState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
+                              </span>
+                            </div>
+                            <div
+                              style="display: inline-block;margin-left:5px;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:60px">
+                              <template
+                                v-if="item.TableQuestions.Answers[i].isLymphLesion && !isNaN(parseInt(item.TableQuestions.Answers[i].lesionShort))">
+                                {{ item.TableQuestions.Answers[i].lesionShort }}mm
+                              </template>
+                              <template
+                                v-else-if="!item.TableQuestions.Answers[i].isLymphLesion && !isNaN(parseInt(item.TableQuestions.Answers[i].lesionLength))">
+                                {{ item.TableQuestions.Answers[i].lesionLength }}mm
+                              </template>
+                            </div>
                           </div>
                         </div>
+
                       </div>
                       <div
-                        v-if="((item.LesionType === 0 && parseInt(item.TableQuestions.Answers[i].lesionState) === 0) || (item.LesionType === 1 && [0, 1].includes(parseInt(item.TableQuestions.Answers[i].lesionState))) || (item.LesionType === 2 && parseInt(item.TableQuestions.Answers[i].lesionState) === 0)) && item.TableQuestions.Answers[i].IsCurrentTaskAdd === 'False'"
+                        v-if="((item.LesionType === 0 && [0, 1, 4].includes(parseInt(item.TableQuestions.Answers[i].lesionState))) || (item.LesionType === 0 && parseInt(item.TableQuestions.Answers[i].lesionState) === 0) || (item.LesionType === 1 && [0, 1].includes(parseInt(item.TableQuestions.Answers[i].lesionState))) || (item.LesionType === 2 && parseInt(item.TableQuestions.Answers[i].lesionState) === 0)) && item.TableQuestions.Answers[i].IsCurrentTaskAdd === 'False'"
                         style="position: absolute;right: 5px;top: 2px;transform: rotateY(180deg);">
                         <!-- 分裂 -->
                         <el-tooltip
@@ -113,6 +133,13 @@
                           <i class="iconfont icon-24gl-split" style="color:#fff;font-size: 16px;"
                             @click.stop="handleSplit(item.TableQuestions.Answers[i].RowId, item.Id)" />
                         </el-tooltip>
+                        <!-- 融合 -->
+                        <el-tooltip
+                          v-show="!!item.TableQuestions.Answers[i].RowId && item.TableQuestions.Answers[i].SplitOrMergeType !== '2' && ((item.LesionType === 0 && [0, 1, 4].includes(parseInt(item.TableQuestions.Answers[i].lesionState))))"
+                          class="item" :content="$t('trials:reading:button:merge')" placement="bottom">
+                          <i class="iconfont icon-24gl-merge" style="color:#fff;font-size: 16px;"
+                            @click.stop="handleMerge(item.TableQuestions.Answers[i], item.Id, item.OrderMark)" />
+                        </el-tooltip>
                       </div>
 
                     </div>
@@ -134,10 +161,35 @@
         </div>
       </template>
     </div>
+    <el-dialog v-if="merge.visible" v-loading="merge.loading" :visible.sync="merge.visible"
+      :close-on-click-modal="false" :title="$t('trials:reading:lugano:message:merge')" width="500px">
+      <div class="merge-table">
+        <div class="merge-label">
+          <label>{{ $t('trials:reading:lugano:label:currentLesion') }}</label>
+          <span>{{ mergeInfo.lesionName }}</span>
+          <span style="margin-left:10px">{{ mergeInfo.lesionPart }}</span>
+        </div>
+        <div class="merge-label"><label>{{ $t('trials:reading:lugano:label:selectLesion') }}</label></div>
+        <el-table :data="lesionData" style="width: 450px" size="small" height="200"
+          @selection-change="handleSelectionChange">
+          <el-table-column type="selection" width="45" />
+          <el-table-column prop="OrderMarkName" :label="$t('trials:reading:lugano:label:lesionNumber')" width="100" />
+          <el-table-column prop="Part" :label="$t('trials:reading:lugano:label:lesionLocation')" min-width="120"
+            show-overflow-tooltip />
+        </el-table>
+      </div>
+      <div slot="footer" style="text-align:right;">
+        <!-- 取消 -->
+        <el-button size="mini" @click="merge.visible = false">{{ $t('common:button:cancel') }}</el-button>
+        <!-- 确认 -->
+        <el-button type="primary" size="mini" :disabled="mergeList.length === 0" @click="confirmMerge">
+          {{ $t('common:button:confirm') }}</el-button>
+      </div>
+    </el-dialog>
   </div>
 </template>
 <script>
-import { splitLesion } from '@/api/trials'
+import { splitLesion, getCanMergeLesion, mergeLesion } from '@/api/trials'
 import { resetReadingTask } from '@/api/reading'
 import DicomEvent from './../DicomEvent'
 import store from '@/store'
@@ -191,7 +243,12 @@ export default {
       tableQuestions: [],
       isFirstRender: false,
       CriterionType: null,
-      subjectCode: ''
+      subjectCode: '',
+
+      merge: { visible: false, loading: false },
+      lesionData: [],
+      mergeInfo: {},
+      mergeList: []
     }
   },
   computed: {
@@ -248,6 +305,66 @@ export default {
     handleReadingChart(e) {
       this.$emit('handleReadingChart', e)
     },
+    // 融合
+    async handleMerge(answers, questionId, orderMark) {
+      this.lesionData = []
+      this.mergeList = []
+      this.merge.visible = true
+      this.mergeInfo.questionId = questionId
+      this.mergeInfo.mergeRowId = answers.RowId
+      this.mergeInfo.lesionName = this.getLesionName(orderMark, answers.RowIndex)
+      this.mergeInfo.lesionPart = answers.lesionPart
+      this.merge.loading = true
+      try {
+        const res = await getCanMergeLesion({ rowId: answers.RowId })
+        if (res.IsSuccess) {
+          this.lesionData = res.Result
+        }
+        this.merge.loading = false
+      } catch (e) {
+        console.log(e)
+        this.merge.loading = false
+      }
+    },
+    handleSelectionChange(val) {
+      this.mergeList = []
+      val.map(i => {
+        this.mergeList.push(i.RowId)
+      })
+    },
+    confirmMerge() {
+      // '融合后将无法撤销, 是否继续?'
+      this.$confirm(this.$t('trials:reading:lugano:warnning:fuse'), {
+        type: 'warning'
+      }).then(() => {
+        this.lesionMerge()
+      }).catch(() => {
+
+      })
+    },
+    async lesionMerge() {
+      this.merge.loading = true
+      try {
+        var params = {
+          visitTaskId: this.visitTaskId,
+          questionId: this.mergeInfo.questionId,
+          mergeMainRowId: this.mergeInfo.mergeRowId,
+          mergeRowIdList: this.mergeList
+        }
+        const res = await mergeLesion(params)
+        if (res.IsSuccess) {
+          this.merge.visible = false
+          DicomEvent.$emit('readingPageUpdate', {})
+          DicomEvent.$emit('getReportInfo', true)
+          DicomEvent.$emit('setMeasuredToolsPassive')
+          this.getReadingQuestionAndAnswer()
+        }
+        this.merge.loading = false
+      } catch (e) {
+        this.merge.loading = false
+        console.log(e)
+      }
+    },
     async initList() {
       var i = this.visitTaskList.findIndex(i => i.VisitTaskId === this.lastCanvasTaskId)
       if (i > -1) {
@@ -1066,6 +1183,70 @@ export default {
 }
 </script>
 <style lang="scss" scoped>
+.login-cycle {
+  width: 5px;
+  height: 5px;
+  display: inline-block;
+  background-color: #428bca;
+  border-radius: 50%;
+  margin-right: 2px;
+  margin-bottom: 2px;
+}
+
+.merge-table {
+  padding: 0 10px;
+
+  ::v-deep.el-table {
+    background-color: #1e1e1e !important;
+    color: #383838;
+  }
+
+  ::v-deep.el-table td.el-table__cell,
+  .el-table th.el-table__cell.is-leaf {
+    border-bottom: 1px solid #383838;
+  }
+
+  .el-table--border::after,
+  .el-table--group::after,
+  .el-table::before {
+    background-color: #1e1e1e;
+  }
+
+  ::v-deep.el-table__header-wrapper {
+    th {
+      background-color: #1e1e1e !important;
+      color: #dfdfdf;
+      border-bottom: 1px solid #383838;
+    }
+  }
+
+  ::v-deep.el-table__body-wrapper {
+    tr {
+      background-color: #1e1e1e !important;
+      color: #dfdfdf;
+    }
+
+    tr:hover>td {
+      background-color: #1e1e1e !important;
+    }
+  }
+
+  ::v-deep.el-table__empty-block {
+    background-color: #1e1e1e !important;
+  }
+
+  .merge-label {
+    color: #ddd;
+    font-size: 13px;
+    margin-bottom: 10px;
+
+    span {
+      font-size: 15px;
+      color: red;
+    }
+  }
+}
+
 .measurement-wrapper {
   height: 100%;
   overflow-y: auto;
diff --git a/src/views/trials/trials-panel/reading/dicoms/components/RecistBM/QuestionList.vue b/src/views/trials/trials-panel/reading/dicoms/components/RecistBM/QuestionList.vue
index b3ef5be3..96829b4e 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/RecistBM/QuestionList.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/RecistBM/QuestionList.vue
@@ -66,38 +66,58 @@
                         placement="bottom">
                         <i class="el-icon-warning" style="color:#ff9800" />
                       </el-tooltip>
-                      <div style="position: absolute;left: 50px;top: 2px;">
-                        <div style="font-size: 11px;width:220px;height: 30px;">
-                          <div v-if="item.TableQuestions.Answers[i].lesionPart"
-                            style="margin-left:10px;display: inline-block; white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:90px">
-                            <el-tooltip v-if="!!item.TableQuestions.Answers[i].lesionPart" class="item" effect="dark"
-                              :content="item.TableQuestions.Answers[i].lesionPart" placement="bottom">
-                              <span>{{ item.TableQuestions.Answers[i].lesionPart }}</span>
-                            </el-tooltip>
+                      <div
+                        :style="{ position: 'absolute', left: item.LesionType === 1 && readingTaskState < 2 ? '58px' : '50px', top: '2px' }">
+                        <div
+                          style="font-size: 11px;width:210px;height: 30px;display: flex;justify-content: flex-start;flex-wrap: nowrap;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;">
+                          <el-tooltip
+                            v-if="item.TableQuestions.Answers[i].SplitOrMergeType === '1' || item.TableQuestions.Answers[i].SplitOrMergeType === '3'"
+                            class="item" effect="dark"
+                            :content="`${$t('trials:reading:message:fused')}${item.TableQuestions.Answers[i].SplitOrMergeLesionName}`"
+                            placement="bottom">
+                            <div
+                              v-if="item.TableQuestions.Answers[i].SplitOrMergeType === '1' || item.TableQuestions.Answers[i].SplitOrMergeType === '3'">
+                              <span class="login-cycle"
+                                :style="`background-color:${$GuidToColor(item.TableQuestions.Answers[i].MergeRowId)}`" />
+                            </div>
+                          </el-tooltip>
+                          <div v-if="item.TableQuestions.Answers[i].SplitOrMergeType === '4'">
+                            <span class="login-cycle"
+                              :style="`background-color:${$GuidToColor(item.TableQuestions.Answers[i].RowId)}`" />
                           </div>
-                          <div
-                            style="display: inline-block;margin-left:5px;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:50px">
-                            <span v-if="item.LesionType === 0">
-                              {{ $fd('TargetState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
-                            </span>
-                            <span v-else-if="item.LesionType === 1">
-                              {{ $fd('NoTargetState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
-                            </span>
-                            <span v-else>
-                              {{ $fd('NewLesionState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
-                            </span>
-                          </div>
-                          <div
-                            style="display: inline-block;margin-left:5px;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:60px">
+                          <div style="font-size: 11px;width:220px;height: 30px;">
+                            <div v-if="item.TableQuestions.Answers[i].lesionPart"
+                              style="margin-left:10px;display: inline-block; white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:90px">
+                              <el-tooltip v-if="!!item.TableQuestions.Answers[i].lesionPart" class="item" effect="dark"
+                                :content="item.TableQuestions.Answers[i].lesionPart" placement="bottom">
+                                <span>{{ item.TableQuestions.Answers[i].lesionPart }}</span>
+                              </el-tooltip>
+                            </div>
+                            <div
+                              style="display: inline-block;margin-left:5px;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:50px">
+                              <span v-if="item.LesionType === 0">
+                                {{ $fd('TargetState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
+                              </span>
+                              <span v-else-if="item.LesionType === 1">
+                                {{ $fd('NoTargetState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
+                              </span>
+                              <span v-else>
+                                {{ $fd('NewLesionState', parseInt(item.TableQuestions.Answers[i].lesionState)) }}
+                              </span>
+                            </div>
+                            <div
+                              style="display: inline-block;margin-left:5px;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:60px">
 
-                            <template v-if="!isNaN(parseInt(item.TableQuestions.Answers[i].lesionLength))">
-                              {{ item.TableQuestions.Answers[i].lesionLength }}mm
-                            </template>
+                              <template v-if="!isNaN(parseInt(item.TableQuestions.Answers[i].lesionLength))">
+                                {{ item.TableQuestions.Answers[i].lesionLength }}mm
+                              </template>
+                            </div>
                           </div>
                         </div>
+
                       </div>
                       <div
-                        v-if="((item.LesionType === 0 && parseInt(item.TableQuestions.Answers[i].lesionState) === 0) || (item.LesionType === 1 && [0, 1].includes(parseInt(item.TableQuestions.Answers[i].lesionState))) || (item.LesionType === 2 && parseInt(item.TableQuestions.Answers[i].lesionState) === 0)) && item.TableQuestions.Answers[i].IsCurrentTaskAdd === 'False'"
+                        v-if="((item.LesionType === 0 && [0, 1, 4].includes(parseInt(item.TableQuestions.Answers[i].lesionState))) || (item.LesionType === 0 && parseInt(item.TableQuestions.Answers[i].lesionState) === 0) || (item.LesionType === 1 && [0, 1].includes(parseInt(item.TableQuestions.Answers[i].lesionState))) || (item.LesionType === 2 && parseInt(item.TableQuestions.Answers[i].lesionState) === 0)) && item.TableQuestions.Answers[i].IsCurrentTaskAdd === 'False'"
                         style="position: absolute;right: 5px;top: 2px;transform: rotateY(180deg);">
                         <!-- 分裂 -->
                         <el-tooltip
@@ -106,6 +126,13 @@
                           <i class="iconfont icon-24gl-split" style="color:#fff;font-size: 16px;"
                             @click.stop="handleSplit(item.TableQuestions.Answers[i].RowId, item.Id)" />
                         </el-tooltip>
+                        <!-- 融合 -->
+                        <el-tooltip
+                          v-show="!!item.TableQuestions.Answers[i].RowId && item.TableQuestions.Answers[i].SplitOrMergeType !== '2' && ((item.LesionType === 0 && [0, 1, 4].includes(parseInt(item.TableQuestions.Answers[i].lesionState))))"
+                          class="item" :content="$t('trials:reading:button:merge')" placement="bottom">
+                          <i class="iconfont icon-24gl-merge" style="color:#fff;font-size: 16px;"
+                            @click.stop="handleMerge(item.TableQuestions.Answers[i], item.Id, item.OrderMark)" />
+                        </el-tooltip>
                       </div>
 
                     </div>
@@ -127,10 +154,35 @@
         </div>
       </template>
     </div>
+    <el-dialog v-if="merge.visible" v-loading="merge.loading" :visible.sync="merge.visible"
+      :close-on-click-modal="false" :title="$t('trials:reading:lugano:message:merge')" width="500px">
+      <div class="merge-table">
+        <div class="merge-label">
+          <label>{{ $t('trials:reading:lugano:label:currentLesion') }}</label>
+          <span>{{ mergeInfo.lesionName }}</span>
+          <span style="margin-left:10px">{{ mergeInfo.lesionPart }}</span>
+        </div>
+        <div class="merge-label"><label>{{ $t('trials:reading:lugano:label:selectLesion') }}</label></div>
+        <el-table :data="lesionData" style="width: 450px" size="small" height="200"
+          @selection-change="handleSelectionChange">
+          <el-table-column type="selection" width="45" />
+          <el-table-column prop="OrderMarkName" :label="$t('trials:reading:lugano:label:lesionNumber')" width="100" />
+          <el-table-column prop="Part" :label="$t('trials:reading:lugano:label:lesionLocation')" min-width="120"
+            show-overflow-tooltip />
+        </el-table>
+      </div>
+      <div slot="footer" style="text-align:right;">
+        <!-- 取消 -->
+        <el-button size="mini" @click="merge.visible = false">{{ $t('common:button:cancel') }}</el-button>
+        <!-- 确认 -->
+        <el-button type="primary" size="mini" :disabled="mergeList.length === 0" @click="confirmMerge">
+          {{ $t('common:button:confirm') }}</el-button>
+      </div>
+    </el-dialog>
   </div>
 </template>
 <script>
-import { splitLesion } from '@/api/trials'
+import { splitLesion, getCanMergeLesion, mergeLesion } from '@/api/trials'
 import { resetReadingTask } from '@/api/reading'
 import DicomEvent from './../DicomEvent'
 
@@ -185,7 +237,12 @@ export default {
       tableQuestions: [],
       isFirstRender: false,
       CriterionType: null,
-      subjectCode: ''
+      subjectCode: '',
+
+      merge: { visible: false, loading: false },
+      lesionData: [],
+      mergeInfo: {},
+      mergeList: []
     }
   },
   computed: {
@@ -243,6 +300,66 @@ export default {
     handleReadingChart(e) {
       this.$emit('handleReadingChart', e)
     },
+    // 融合
+    async handleMerge(answers, questionId, orderMark) {
+      this.lesionData = []
+      this.mergeList = []
+      this.merge.visible = true
+      this.mergeInfo.questionId = questionId
+      this.mergeInfo.mergeRowId = answers.RowId
+      this.mergeInfo.lesionName = this.getLesionName(orderMark, answers.RowIndex)
+      this.mergeInfo.lesionPart = answers.lesionPart
+      this.merge.loading = true
+      try {
+        const res = await getCanMergeLesion({ rowId: answers.RowId })
+        if (res.IsSuccess) {
+          this.lesionData = res.Result
+        }
+        this.merge.loading = false
+      } catch (e) {
+        console.log(e)
+        this.merge.loading = false
+      }
+    },
+    handleSelectionChange(val) {
+      this.mergeList = []
+      val.map(i => {
+        this.mergeList.push(i.RowId)
+      })
+    },
+    confirmMerge() {
+      // '融合后将无法撤销, 是否继续?'
+      this.$confirm(this.$t('trials:reading:lugano:warnning:fuse'), {
+        type: 'warning'
+      }).then(() => {
+        this.lesionMerge()
+      }).catch(() => {
+
+      })
+    },
+    async lesionMerge() {
+      this.merge.loading = true
+      try {
+        var params = {
+          visitTaskId: this.visitTaskId,
+          questionId: this.mergeInfo.questionId,
+          mergeMainRowId: this.mergeInfo.mergeRowId,
+          mergeRowIdList: this.mergeList
+        }
+        const res = await mergeLesion(params)
+        if (res.IsSuccess) {
+          this.merge.visible = false
+          DicomEvent.$emit('readingPageUpdate', {})
+          DicomEvent.$emit('getReportInfo', true)
+          DicomEvent.$emit('setMeasuredToolsPassive')
+          this.getReadingQuestionAndAnswer()
+        }
+        this.merge.loading = false
+      } catch (e) {
+        this.merge.loading = false
+        console.log(e)
+      }
+    },
     async initList() {
       var i = this.visitTaskList.findIndex(i => i.VisitTaskId === this.lastCanvasTaskId)
       if (i > -1) {
@@ -993,6 +1110,70 @@ export default {
 }
 </script>
 <style lang="scss" scoped>
+.login-cycle {
+  width: 5px;
+  height: 5px;
+  display: inline-block;
+  background-color: #428bca;
+  border-radius: 50%;
+  margin-right: 2px;
+  margin-bottom: 2px;
+}
+
+.merge-table {
+  padding: 0 10px;
+
+  ::v-deep.el-table {
+    background-color: #1e1e1e !important;
+    color: #383838;
+  }
+
+  ::v-deep.el-table td.el-table__cell,
+  .el-table th.el-table__cell.is-leaf {
+    border-bottom: 1px solid #383838;
+  }
+
+  .el-table--border::after,
+  .el-table--group::after,
+  .el-table::before {
+    background-color: #1e1e1e;
+  }
+
+  ::v-deep.el-table__header-wrapper {
+    th {
+      background-color: #1e1e1e !important;
+      color: #dfdfdf;
+      border-bottom: 1px solid #383838;
+    }
+  }
+
+  ::v-deep.el-table__body-wrapper {
+    tr {
+      background-color: #1e1e1e !important;
+      color: #dfdfdf;
+    }
+
+    tr:hover>td {
+      background-color: #1e1e1e !important;
+    }
+  }
+
+  ::v-deep.el-table__empty-block {
+    background-color: #1e1e1e !important;
+  }
+
+  .merge-label {
+    color: #ddd;
+    font-size: 13px;
+    margin-bottom: 10px;
+
+    span {
+      font-size: 15px;
+      color: red;
+    }
+  }
+}
+
 .measurement-wrapper {
   height: 100%;
   overflow-y: auto;
diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/ReadPage.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/ReadPage.vue
index 1d8abafd..8bbc24bd 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/ReadPage.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/ReadPage.vue
@@ -163,7 +163,7 @@
             <!-- MPR -->
             <div class="tool-item" :title="`${$t('trials:reading:button:mpr')}`" @click.prevent="openMPRViewport()"
               v-if="criterionType === 0 && readingTool === 0">
-              <svg-icon icon-class="mpr" class="svg-icon" style="transform: rotate(180deg);"/>
+              <svg-icon icon-class="mpr" class="svg-icon" style="transform: rotate(180deg);" />
             </div>
             <!--融合-->
             <div v-if="readingTool === 2" class="tool-item" :title="$t('trials:lugano:button:fusion')"
@@ -343,7 +343,7 @@
                 :last-viewport-task-id="lastViewportTaskId" :visit-info="s" @removeAnnotation="removeAnnotation"
                 @getScreenshots="getScreenshots" @setMarkName="setMarkName" @imageLocation="imageLocation"
                 @resetAnnotations="resetAnnotations" @getAnnotations="getAnnotations" @setToolToTarget="setToolToTarget"
-                @handleReadingChart="handleReadingChart" />
+                @handleReadingChart="handleReadingChart" @setReadingToolPassive="setReadingToolPassive" />
               <recisit
                 v-else-if="lastViewportTaskId && criterionType === 1 && lastViewportTaskIds.includes(s.VisitTaskId)"
                 :ref="`ecrf_${s.VisitTaskId}`"
@@ -351,7 +351,7 @@
                 :last-viewport-task-id="lastViewportTaskId" :visit-info="s" @removeAnnotation="removeAnnotation"
                 @getScreenshots="getScreenshots" @setMarkName="setMarkName" @imageLocation="imageLocation"
                 @resetAnnotations="resetAnnotations" @getAnnotations="getAnnotations" @setToolToTarget="setToolToTarget"
-                @handleReadingChart="handleReadingChart" />
+                @handleReadingChart="handleReadingChart" @setReadingToolPassive="setReadingToolPassive" />
               <customize-question-list
                 v-else-if="lastViewportTaskId && criterionType === 0 && lastViewportTaskIds.includes(s.VisitTaskId)"
                 :ref="`ecrf_${s.VisitTaskId}`"
diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/Recist/QuestionList.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/Recist/QuestionList.vue
index 13bf30bf..723c4ad7 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/Recist/QuestionList.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/Recist/QuestionList.vue
@@ -77,49 +77,70 @@
                         placement="bottom">
                         <i class="el-icon-warning" style="color:#ff9800" />
                       </el-tooltip>
-                      <div style="position: absolute;left: 50px;top: 2px;">
-                        <div style="font-size: 11px;width:220px;height: 30px;">
-                          <div v-if="innerFormData[`${table.Id}_${answer.RowIndex}`].LesionPart"
-                            style="margin-left:10px;display: inline-block; white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:90px"
-                            :title="innerFormData[`${table.Id}_${answer.RowIndex}`].LesionPart">
-                            {{ innerFormData[`${table.Id}_${answer.RowIndex}`].LesionPart }}
+                      <div
+                        :style="{ position: 'absolute', left: table.LesionType === 1 && readingTaskState < 2 ? '58px' : '50px', top: '2px' }">
+                        <div
+                          style="font-size: 11px;width:210px;height: 30px;display: flex;justify-content: flex-start;flex-wrap: nowrap;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;">
+                          <el-tooltip
+                            v-if="innerFormData[`${table.Id}_${answer.RowIndex}`].SplitOrMergeType === '1' || innerFormData[`${table.Id}_${answer.RowIndex}`].SplitOrMergeType === '3'"
+                            class="item" effect="dark"
+                            :content="`${$t('trials:reading:message:fused')}${innerFormData[`${table.Id}_${answer.RowIndex}`].SplitOrMergeLesionName}`"
+                            placement="bottom">
+                            <div
+                              v-if="innerFormData[`${table.Id}_${answer.RowIndex}`].SplitOrMergeType === '1' || innerFormData[`${table.Id}_${answer.RowIndex}`].SplitOrMergeType === '3'">
+                              <span class="login-cycle"
+                                :style="`background-color:${$GuidToColor(innerFormData[`${table.Id}_${answer.RowIndex}`].MergeRowId)}`" />
+                            </div>
+                          </el-tooltip>
+                          <div v-if="innerFormData[`${table.Id}_${answer.RowIndex}`].SplitOrMergeType === '4'">
+                            <span class="login-cycle"
+                              :style="`background-color:${$GuidToColor(innerFormData[`${table.Id}_${answer.RowIndex}`].RowId)}`" />
                           </div>
-                          <div
-                            style="display: inline-block;margin-left:5px;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:50px">
-                            <span v-if="table.LesionType === 0">
-                              {{
-                                $fd('TargetState', parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState))
-                              }}
-                            </span>
-                            <span v-else-if="table.LesionType === 1">
-                              {{
-                                $fd('NoTargetState',
-                                  parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState))
-                              }}
-                            </span>
-                            <span v-else>
-                              {{
-                                $fd('NewLesionState',
-                                  parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState))
-                              }}
-                            </span>
-                          </div>
-                          <div
-                            style="display: inline-block;margin-left:5px;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:60px">
-                            <template
-                              v-if="innerFormData[`${table.Id}_${answer.RowIndex}`].IsLymphNodes && !isNaN(parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionShort))">
-                              {{ innerFormData[`${table.Id}_${answer.RowIndex}`].LesionShort }}mm
-                            </template>
-                            <template
-                              v-else-if="!innerFormData[`${table.Id}_${answer.RowIndex}`].IsLymphNodes && !isNaN(parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionLength))">
-                              {{ innerFormData[`${table.Id}_${answer.RowIndex}`].LesionLength }}mm
-                            </template>
+                          <div style="font-size: 11px;width:220px;height: 30px;">
+                            <div v-if="innerFormData[`${table.Id}_${answer.RowIndex}`].LesionPart"
+                              style="margin-left:10px;display: inline-block; white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:90px"
+                              :title="innerFormData[`${table.Id}_${answer.RowIndex}`].LesionPart">
+                              {{ innerFormData[`${table.Id}_${answer.RowIndex}`].LesionPart }}
+                            </div>
+                            <div
+                              style="display: inline-block;margin-left:5px;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:50px">
+                              <span v-if="table.LesionType === 0">
+                                {{
+                                  $fd('TargetState',
+                                    parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState))
+                                }}
+                              </span>
+                              <span v-else-if="table.LesionType === 1">
+                                {{
+                                  $fd('NoTargetState',
+                                    parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState))
+                                }}
+                              </span>
+                              <span v-else>
+                                {{
+                                  $fd('NewLesionState',
+                                    parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState))
+                                }}
+                              </span>
+                            </div>
+                            <div
+                              style="display: inline-block;margin-left:5px;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:60px">
+                              <template
+                                v-if="innerFormData[`${table.Id}_${answer.RowIndex}`].IsLymphNodes && !isNaN(parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionShort))">
+                                {{ innerFormData[`${table.Id}_${answer.RowIndex}`].LesionShort }}mm
+                              </template>
+                              <template
+                                v-else-if="!innerFormData[`${table.Id}_${answer.RowIndex}`].IsLymphNodes && !isNaN(parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionLength))">
+                                {{ innerFormData[`${table.Id}_${answer.RowIndex}`].LesionLength }}mm
+                              </template>
+                            </div>
                           </div>
                         </div>
+
                       </div>
                       <!-- 分裂 -->
                       <div
-                        v-if="((table.LesionType === 0 && parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState) === 0) || (table.LesionType === 1 && [0, 1].includes(parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState))) || (table.LesionType === 2 && parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState) === 0)) && innerFormData[`${table.Id}_${answer.RowIndex}`].IsCurrentTaskAdd === 'False'"
+                        v-if="((table.LesionType === 0 && [0, 1, 4].includes(parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState))) || (table.LesionType === 0 && parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState) === 0) || (table.LesionType === 1 && [0, 1].includes(parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState))) || (table.LesionType === 2 && parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState) === 0)) && innerFormData[`${table.Id}_${answer.RowIndex}`].IsCurrentTaskAdd === 'False'"
                         style="position: absolute;right: 5px;top: 2px;transform: rotateY(180deg);">
                         <el-tooltip
                           v-show="readingTaskState < 2 && !!innerFormData[`${table.Id}_${answer.RowIndex}`].RowId && !isBaseLineTask && innerFormData[`${table.Id}_${answer.RowIndex}`].IsDicomReading !== false"
@@ -127,6 +148,13 @@
                           <i class="iconfont icon-24gl-split" style="color:#fff;font-size: 16px;"
                             @click.stop="lesionSplit(table.Id, innerFormData[`${table.Id}_${answer.RowIndex}`].RowId)" />
                         </el-tooltip>
+                        <!-- 融合 -->
+                        <el-tooltip
+                          v-show="readingTaskState < 2 && !!innerFormData[`${table.Id}_${answer.RowIndex}`].RowId && innerFormData[`${table.Id}_${answer.RowIndex}`].SplitOrMergeType !== '2' && table.LesionType === 0 && [0, 1, 4].includes(parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState))"
+                          class="item" :content="$t('trials:reading:button:merge')" placement="bottom">
+                          <i class="iconfont icon-24gl-merge" style="color:#fff;font-size: 16px;"
+                            @click.stop="handleMerge(innerFormData[`${table.Id}_${answer.RowIndex}`], table.Id, table.OrderMark)" />
+                        </el-tooltip>
                       </div>
 
                     </div>
@@ -164,6 +192,31 @@
         </div>
       </template>
     </div>
+    <el-dialog v-if="merge.visible" v-loading="merge.loading" :visible.sync="merge.visible"
+      :close-on-click-modal="false" :title="$t('trials:reading:lugano:message:merge')" width="500px">
+      <div class="merge-table">
+        <div class="merge-label">
+          <label>{{ $t('trials:reading:lugano:label:currentLesion') }}</label>
+          <span>{{ mergeInfo.lesionName }}</span>
+          <span style="margin-left:10px">{{ mergeInfo.lesionPart }}</span>
+        </div>
+        <div class="merge-label"><label>{{ $t('trials:reading:lugano:label:selectLesion') }}</label></div>
+        <el-table :data="lesionData" style="width: 450px" size="small" height="200"
+          @selection-change="handleSelectionChange">
+          <el-table-column type="selection" width="45" />
+          <el-table-column prop="OrderMarkName" :label="$t('trials:reading:lugano:label:lesionNumber')" width="100" />
+          <el-table-column prop="Part" :label="$t('trials:reading:lugano:label:lesionLocation')" min-width="120"
+            show-overflow-tooltip />
+        </el-table>
+      </div>
+      <div slot="footer" style="text-align:right;">
+        <!-- 取消 -->
+        <el-button size="mini" @click="merge.visible = false">{{ $t('common:button:cancel') }}</el-button>
+        <!-- 确认 -->
+        <el-button type="primary" size="mini" :disabled="mergeList.length === 0" @click="confirmMerge">
+          {{ $t('common:button:confirm') }}</el-button>
+      </div>
+    </el-dialog>
   </div>
 </template>
 <script>
@@ -174,7 +227,9 @@ import {
   saveTaskQuestion,
   submitTableQuestion,
   deleteReadingRowAnswer,
-  splitLesion
+  splitLesion,
+  getCanMergeLesion,
+  mergeLesion
 } from '@/api/trials'
 import { resetReadingTask, setSkipReadingCache } from '@/api/reading'
 import { mapGetters } from 'vuex'
@@ -221,7 +276,13 @@ export default {
       deleteTargetInfo: null,
       digitPlaces: 2,
       imageQualityId: '',
-      imageQualityIssuesId: ''
+      imageQualityIssuesId: '',
+
+
+      merge: { visible: false, loading: false },
+      lesionData: [],
+      mergeInfo: {},
+      mergeList: []
     }
   },
   computed: {
@@ -258,6 +319,66 @@ export default {
     handleReadingChart(e) {
       this.$emit('handleReadingChart', e)
     },
+    // 融合
+    async handleMerge(answers, questionId, orderMark) {
+      this.lesionData = []
+      this.mergeList = []
+      this.merge.visible = true
+      this.mergeInfo.questionId = questionId
+      this.mergeInfo.mergeRowId = answers.RowId
+      this.mergeInfo.lesionName = this.getLesionName(orderMark, answers.RowIndex)
+      this.mergeInfo.lesionPart = answers.lesionPart
+      this.merge.loading = true
+      try {
+        const res = await getCanMergeLesion({ rowId: answers.RowId })
+        if (res.IsSuccess) {
+          this.lesionData = res.Result
+        }
+        this.merge.loading = false
+      } catch (e) {
+        console.log(e)
+        this.merge.loading = false
+      }
+    },
+    handleSelectionChange(val) {
+      this.mergeList = []
+      val.map(i => {
+        this.mergeList.push(i.RowId)
+      })
+    },
+    confirmMerge() {
+      // '融合后将无法撤销, 是否继续?'
+      this.$confirm(this.$t('trials:reading:lugano:warnning:fuse'), {
+        type: 'warning'
+      }).then(() => {
+        this.lesionMerge()
+      }).catch(() => {
+
+      })
+    },
+    async lesionMerge() {
+      this.merge.loading = true
+      try {
+        var params = {
+          visitTaskId: this.visitTaskId,
+          questionId: this.mergeInfo.questionId,
+          mergeMainRowId: this.mergeInfo.mergeRowId,
+          mergeRowIdList: this.mergeList
+        }
+        const res = await mergeLesion(params)
+        if (res.IsSuccess) {
+          this.merge.visible = false
+          // DicomEvent.$emit('readingPageUpdate', {})
+          // DicomEvent.$emit('getReportInfo', true)
+          DicomEvent.$emit('setReadingToolPassive')
+          this.getTableQuestions()
+        }
+        this.merge.loading = false
+      } catch (e) {
+        this.merge.loading = false
+        console.log(e)
+      }
+    },
     // 获取器官信息
     async getOrganList() {
       try {
@@ -1841,6 +1962,70 @@ export default {
 }
 </script>
 <style lang="scss" scoped>
+.login-cycle {
+  width: 5px;
+  height: 5px;
+  display: inline-block;
+  background-color: #428bca;
+  border-radius: 50%;
+  margin-right: 2px;
+  margin-bottom: 2px;
+}
+
+.merge-table {
+  padding: 0 10px;
+
+  ::v-deep.el-table {
+    background-color: #1e1e1e !important;
+    color: #383838;
+  }
+
+  ::v-deep.el-table td.el-table__cell,
+  .el-table th.el-table__cell.is-leaf {
+    border-bottom: 1px solid #383838;
+  }
+
+  .el-table--border::after,
+  .el-table--group::after,
+  .el-table::before {
+    background-color: #1e1e1e;
+  }
+
+  ::v-deep.el-table__header-wrapper {
+    th {
+      background-color: #1e1e1e !important;
+      color: #dfdfdf;
+      border-bottom: 1px solid #383838;
+    }
+  }
+
+  ::v-deep.el-table__body-wrapper {
+    tr {
+      background-color: #1e1e1e !important;
+      color: #dfdfdf;
+    }
+
+    tr:hover>td {
+      background-color: #1e1e1e !important;
+    }
+  }
+
+  ::v-deep.el-table__empty-block {
+    background-color: #1e1e1e !important;
+  }
+
+  .merge-label {
+    color: #ddd;
+    font-size: 13px;
+    margin-bottom: 10px;
+
+    span {
+      font-size: 15px;
+      color: red;
+    }
+  }
+}
+
 .questionList-wrapper {
   height: 100%;
   overflow-y: auto;
diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/mRecist/QuestionList.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/mRecist/QuestionList.vue
index 5bcaab84..0154ec63 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/mRecist/QuestionList.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/mRecist/QuestionList.vue
@@ -80,8 +80,25 @@
                         <i class="el-icon-warning" style="color:#ff9800" />
                       </el-tooltip>
                       <div
-                        :style="{ position: 'absolute', left: '50px', top: '2px', color: innerFormData[`${table.Id}_${answer.RowIndex}`].IntrahepaticLesion ? '#5fb4ff' : '#fff' }">
-                        <div style="font-size: 11px;width:220px;height: 30px;">
+                        :style="{ position: 'absolute', left: table.LesionType === 1 && readingTaskState < 2 ? '58px' : '50px', top: '2px', color: innerFormData[`${table.Id}_${answer.RowIndex}`].IntrahepaticLesion ? '#5fb4ff' : '#fff' }">
+
+                        <div
+                          style="font-size: 11px;width:210px;height: 30px;display: flex;justify-content: flex-start;flex-wrap: nowrap;white-space: nowrap;overflow: hidden;text-overflow: ellipsis;">
+                          <el-tooltip
+                            v-if="innerFormData[`${table.Id}_${answer.RowIndex}`].SplitOrMergeType === '1' || innerFormData[`${table.Id}_${answer.RowIndex}`].SplitOrMergeType === '3'"
+                            class="item" effect="dark"
+                            :content="`${$t('trials:reading:message:fused')}${innerFormData[`${table.Id}_${answer.RowIndex}`].SplitOrMergeLesionName}`"
+                            placement="bottom">
+                            <div
+                              v-if="innerFormData[`${table.Id}_${answer.RowIndex}`].SplitOrMergeType === '1' || innerFormData[`${table.Id}_${answer.RowIndex}`].SplitOrMergeType === '3'">
+                              <span class="login-cycle"
+                                :style="`background-color:${$GuidToColor(innerFormData[`${table.Id}_${answer.RowIndex}`].MergeRowId)}`" />
+                            </div>
+                          </el-tooltip>
+                          <div v-if="innerFormData[`${table.Id}_${answer.RowIndex}`].SplitOrMergeType === '4'">
+                            <span class="login-cycle"
+                              :style="`background-color:${$GuidToColor(innerFormData[`${table.Id}_${answer.RowIndex}`].RowId)}`" />
+                          </div>
                           <div v-if="innerFormData[`${table.Id}_${answer.RowIndex}`].LesionPart"
                             style="margin-left:10px;display: inline-block; white-space: nowrap;overflow: hidden;text-overflow: ellipsis;max-width:90px"
                             :title="innerFormData[`${table.Id}_${answer.RowIndex}`].LesionPart">
@@ -122,7 +139,7 @@
                       </div>
                       <!-- 分裂 -->
                       <div
-                        v-if="((table.LesionType === 0 && parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState) === 0) || (table.LesionType === 1 && [0, 1].includes(parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState))) || (table.LesionType === 2 && parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState) === 0)) && innerFormData[`${table.Id}_${answer.RowIndex}`].IsCurrentTaskAdd === 'False'"
+                        v-if="((table.LesionType === 0 && [0, 1, 4].includes(parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState)))) || ((table.LesionType === 0 && parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState) === 0) || (table.LesionType === 1 && [0, 1].includes(parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState))) || (table.LesionType === 2 && parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState) === 0)) && innerFormData[`${table.Id}_${answer.RowIndex}`].IsCurrentTaskAdd === 'False'"
                         style="position: absolute;right: 5px;top: 2px;transform: rotateY(180deg);">
                         <el-tooltip
                           v-show="readingTaskState < 2 && !!innerFormData[`${table.Id}_${answer.RowIndex}`].RowId && !isBaseLineTask && innerFormData[`${table.Id}_${answer.RowIndex}`].IsDicomReading !== false"
@@ -130,6 +147,13 @@
                           <i class="iconfont icon-24gl-split" style="color:#fff;font-size: 16px;"
                             @click.stop="lesionSplit(table.Id, innerFormData[`${table.Id}_${answer.RowIndex}`].RowId)" />
                         </el-tooltip>
+                        <!-- 融合 -->
+                        <el-tooltip
+                          v-show="readingTaskState < 2 && !!innerFormData[`${table.Id}_${answer.RowIndex}`].RowId && innerFormData[`${table.Id}_${answer.RowIndex}`].SplitOrMergeType !== '2' && table.LesionType === 0 && [0, 1, 4].includes(parseInt(innerFormData[`${table.Id}_${answer.RowIndex}`].LesionState))"
+                          class="item" :content="$t('trials:reading:button:merge')" placement="bottom">
+                          <i class="iconfont icon-24gl-merge" style="color:#fff;font-size: 16px;"
+                            @click.stop="handleMerge(innerFormData[`${table.Id}_${answer.RowIndex}`], table.Id, table.OrderMark)" />
+                        </el-tooltip>
                       </div>
 
                     </div>
@@ -167,6 +191,31 @@
         </div>
       </template>
     </div>
+    <el-dialog v-if="merge.visible" v-loading="merge.loading" :visible.sync="merge.visible"
+      :close-on-click-modal="false" :title="$t('trials:reading:lugano:message:merge')" width="500px">
+      <div class="merge-table">
+        <div class="merge-label">
+          <label>{{ $t('trials:reading:lugano:label:currentLesion') }}</label>
+          <span>{{ mergeInfo.lesionName }}</span>
+          <span style="margin-left:10px">{{ mergeInfo.lesionPart }}</span>
+        </div>
+        <div class="merge-label"><label>{{ $t('trials:reading:lugano:label:selectLesion') }}</label></div>
+        <el-table :data="lesionData" style="width: 450px" size="small" height="200"
+          @selection-change="handleSelectionChange">
+          <el-table-column type="selection" width="45" />
+          <el-table-column prop="OrderMarkName" :label="$t('trials:reading:lugano:label:lesionNumber')" width="100" />
+          <el-table-column prop="Part" :label="$t('trials:reading:lugano:label:lesionLocation')" min-width="120"
+            show-overflow-tooltip />
+        </el-table>
+      </div>
+      <div slot="footer" style="text-align:right;">
+        <!-- 取消 -->
+        <el-button size="mini" @click="merge.visible = false">{{ $t('common:button:cancel') }}</el-button>
+        <!-- 确认 -->
+        <el-button type="primary" size="mini" :disabled="mergeList.length === 0" @click="confirmMerge">
+          {{ $t('common:button:confirm') }}</el-button>
+      </div>
+    </el-dialog>
   </div>
 </template>
 <script>
@@ -177,7 +226,9 @@ import {
   saveTaskQuestion,
   submitTableQuestion,
   deleteReadingRowAnswer,
-  splitLesion
+  splitLesion,
+  getCanMergeLesion,
+  mergeLesion
 } from '@/api/trials'
 import { resetReadingTask, setSkipReadingCache } from '@/api/reading'
 import { mapGetters } from 'vuex'
@@ -223,7 +274,12 @@ export default {
       deleteTargetInfo: null,
       digitPlaces: 2,
       imageQualityId: '',
-      imageQualityIssuesId: ''
+      imageQualityIssuesId: '',
+
+      merge: { visible: false, loading: false },
+      lesionData: [],
+      mergeInfo: {},
+      mergeList: []
     }
   },
   computed: {
@@ -259,6 +315,66 @@ export default {
     handleReadingChart(e) {
       this.$emit('handleReadingChart', e)
     },
+    // 融合
+    async handleMerge(answers, questionId, orderMark) {
+      this.lesionData = []
+      this.mergeList = []
+      this.merge.visible = true
+      this.mergeInfo.questionId = questionId
+      this.mergeInfo.mergeRowId = answers.RowId
+      this.mergeInfo.lesionName = this.getLesionName(orderMark, answers.RowIndex)
+      this.mergeInfo.lesionPart = answers.lesionPart
+      this.merge.loading = true
+      try {
+        const res = await getCanMergeLesion({ rowId: answers.RowId })
+        if (res.IsSuccess) {
+          this.lesionData = res.Result
+        }
+        this.merge.loading = false
+      } catch (e) {
+        console.log(e)
+        this.merge.loading = false
+      }
+    },
+    handleSelectionChange(val) {
+      this.mergeList = []
+      val.map(i => {
+        this.mergeList.push(i.RowId)
+      })
+    },
+    confirmMerge() {
+      // '融合后将无法撤销, 是否继续?'
+      this.$confirm(this.$t('trials:reading:lugano:warnning:fuse'), {
+        type: 'warning'
+      }).then(() => {
+        this.lesionMerge()
+      }).catch(() => {
+
+      })
+    },
+    async lesionMerge() {
+      this.merge.loading = true
+      try {
+        var params = {
+          visitTaskId: this.visitTaskId,
+          questionId: this.mergeInfo.questionId,
+          mergeMainRowId: this.mergeInfo.mergeRowId,
+          mergeRowIdList: this.mergeList
+        }
+        const res = await mergeLesion(params)
+        if (res.IsSuccess) {
+          this.merge.visible = false
+          // DicomEvent.$emit('readingPageUpdate', {})
+          // DicomEvent.$emit('getReportInfo', true)
+          DicomEvent.$emit('setReadingToolPassive')
+          this.getTableQuestions()
+        }
+        this.merge.loading = false
+      } catch (e) {
+        this.merge.loading = false
+        console.log(e)
+      }
+    },
     // 获取器官信息
     async getOrganList() {
       try {
@@ -1930,6 +2046,70 @@ export default {
 }
 </script>
 <style lang="scss" scoped>
+.login-cycle {
+  width: 5px;
+  height: 5px;
+  display: inline-block;
+  background-color: #428bca;
+  border-radius: 50%;
+  margin-right: 2px;
+  margin-bottom: 2px;
+}
+
+.merge-table {
+  padding: 0 10px;
+
+  ::v-deep.el-table {
+    background-color: #1e1e1e !important;
+    color: #383838;
+  }
+
+  ::v-deep.el-table td.el-table__cell,
+  .el-table th.el-table__cell.is-leaf {
+    border-bottom: 1px solid #383838;
+  }
+
+  .el-table--border::after,
+  .el-table--group::after,
+  .el-table::before {
+    background-color: #1e1e1e;
+  }
+
+  ::v-deep.el-table__header-wrapper {
+    th {
+      background-color: #1e1e1e !important;
+      color: #dfdfdf;
+      border-bottom: 1px solid #383838;
+    }
+  }
+
+  ::v-deep.el-table__body-wrapper {
+    tr {
+      background-color: #1e1e1e !important;
+      color: #dfdfdf;
+    }
+
+    tr:hover>td {
+      background-color: #1e1e1e !important;
+    }
+  }
+
+  ::v-deep.el-table__empty-block {
+    background-color: #1e1e1e !important;
+  }
+
+  .merge-label {
+    color: #ddd;
+    font-size: 13px;
+    margin-bottom: 10px;
+
+    span {
+      font-size: 15px;
+      color: red;
+    }
+  }
+}
+
 .questionList-wrapper {
   height: 100%;
   overflow-y: auto;