diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/appservice/impl/ConsultationAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/appservice/impl/ConsultationAppServiceImpl.java
index 15632f7a..71b35cc3 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/appservice/impl/ConsultationAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/appservice/impl/ConsultationAppServiceImpl.java
@@ -444,6 +444,17 @@ public class ConsultationAppServiceImpl implements IConsultationAppService {
                 if (!ConsultationStatusEnum.SUBMITTED.getCode().equals(entity.getConsultationStatus())) {
                     throw new IllegalArgumentException("只有已提交状态的会诊申请才能取消提交");
                 }
+
+                // 🎯 新增：检查是否有医生已确认或签名
+                // 即使整体状态还是10（部分医生确认/签名），也不允许取消提交
+                LambdaQueryWrapper<ConsultationInvited> invitedCheckWrapper = new LambdaQueryWrapper<>();
+                invitedCheckWrapper.eq(ConsultationInvited::getConsultationRequestId, entity.getId())
+                        .ge(ConsultationInvited::getInvitedStatus, ConsultationStatusEnum.CONFIRMED.getCode());
+                long confirmedOrSignedCount = consultationInvitedMapper.selectCount(invitedCheckWrapper);
+                if (confirmedOrSignedCount > 0) {
+                    throw new IllegalArgumentException("已有医生确认或签名，无法取消提交");
+                }
+
                 // 取消提交：将状态从"已提交"改回"新开"
                 entity.setConsultationStatus(ConsultationStatusEnum.NEW.getCode());
                 entity.setConfirmingPhysician(null);
@@ -724,8 +735,8 @@ public class ConsultationAppServiceImpl implements IConsultationAppService {
                 }).collect(Collectors.toList());
 
                 dto.setInvitedList(invitedDtoList);
-                
-                
+
+
                 // 🎯 如果会诊已确认、已签名或已完成，填充会诊记录信息（从会诊确认表中获取）
                 // 会诊状态：20=已确认，30=已签名，40=已完成
                 if (entity.getConsultationStatus() != null &&
@@ -785,11 +796,6 @@ public class ConsultationAppServiceImpl implements IConsultationAppService {
                             confirmedAndSignedPhysicians.size(), signedPhysicians.size());
                     }
                 }
-
-                        log.info("填充会诊记录信息，已确认和已签名医生数：{}，已签名医生数：{}",
-                            confirmedAndSignedPhysicians.size(), signedPhysicians.size());
-                    }
-                }
             }
         }
 
@@ -1198,7 +1204,7 @@ public class ConsultationAppServiceImpl implements IConsultationAppService {
             // 10=已提交（待确认）、20=已确认（待签名）、30=已签名，排除40=已完成
             LambdaQueryWrapper<ConsultationInvited> invitedWrapper = new LambdaQueryWrapper<>();
             invitedWrapper.eq(ConsultationInvited::getInvitedPhysicianId, currentPhysicianId)
-                    .in(ConsultationInvited::getInvitedStatus, 
+                    .in(ConsultationInvited::getInvitedStatus,
                             ConsultationStatusEnum.SUBMITTED.getCode(),  // 10-待确认
                             ConsultationStatusEnum.CONFIRMED.getCode(),  // 20-已确认（待签名）
                             ConsultationStatusEnum.SIGNED.getCode())     // 30-已签名
@@ -1312,9 +1318,9 @@ public class ConsultationAppServiceImpl implements IConsultationAppService {
 
             // 4. 更新邀请记录（存储会诊意见）
             // 格式：科室-医生：意见内容
-            String formattedOpinion = String.format("%s-%s：%s", 
-                currentDeptName, 
-                currentPhysicianName, 
+            String formattedOpinion = String.format("%s-%s：%s",
+                currentDeptName,
+                currentPhysicianName,
                 dto.getConsultationOpinion());
             
             invited.setInvitedStatus(ConsultationStatusEnum.CONFIRMED.getCode()); // 已确认
diff --git a/openhis-ui-vue3/src/views/doctorstation/components/consultation.vue b/openhis-ui-vue3/src/views/doctorstation/components/consultation.vue
index df84d51f..5b18a650 100644
--- a/openhis-ui-vue3/src/views/doctorstation/components/consultation.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/consultation.vue
@@ -57,11 +57,18 @@
               </el-button>
             </template>
             <!-- 已提交状态：显示取消提交按钮 -->
-            <template v-else-if="row.consultationStatus === 10">
+            <!-- 🎯 修复：如果有医生已确认或签名，则隐藏取消提交按钮 -->
+            <template v-else-if="row.consultationStatus === 10 && !hasConfirmedOrSignedDoctor(row)">
               <el-button type="warning" size="small" @click="handleCancelSubmit(row)">
                 取消提交
               </el-button>
             </template>
+            <!-- 已提交但有医生确认/签名：显示查看按钮 -->
+            <template v-else-if="row.consultationStatus === 10 && hasConfirmedOrSignedDoctor(row)">
+              <el-button type="info" size="small" @click="handleView(row)">
+                查看
+              </el-button>
+            </template>
             <!-- 已确认状态：显示待签名按钮 -->
             <template v-else-if="row.consultationStatus === 20">
               <el-button type="success" size="small" @click="handleView(row)">
@@ -239,7 +246,7 @@
           </el-form-item>
 
           <!-- 🎯 新增：参与医生列表（表格形式） -->
-          <el-form-item label="参与医生签名：" v-if="participatingPhysicians.length > 0">
+          <el-form-item label="参与医生签名：">
             <el-table
               :data="participatingPhysicians"
               border
@@ -247,11 +254,11 @@
               style="width: 100%"
               max-height="300"
             >
-              <el-table-column type="index" label="序号" width="60" align="center" />
-              <el-table-column prop="confirmingDeptName" label="代表科室" width="120" align="center" />
-              <el-table-column prop="confirmingPhysicianName" label="所属医生" width="100" align="center" />
-              <el-table-column prop="signature" label="签名医生" width="100" align="center" />
-              <el-table-column prop="signatureDate" label="签名时间" width="160" align="center">
+              <el-table-column type="index" label="序号" min-width="60" align="center" />
+              <el-table-column prop="confirmingDeptName" label="代表科室" min-width="120" align="center" />
+              <el-table-column prop="confirmingPhysicianName" label="所属医生" min-width="100" align="center" />
+              <el-table-column prop="signature" label="签名医生" min-width="100" align="center" />
+              <el-table-column prop="signatureDate" label="签名时间" min-width="160" align="center">
                 <template #default="{ row }">
                   {{ formatDateTime(row.signatureDate) }}
                 </template>
@@ -629,6 +636,14 @@ const clearAllSelections = () => {
   selectedPhysiciansList.value = [];
 };
 
+// 🎯 检查是否有医生已确认或签名
+const hasConfirmedOrSignedDoctor = (row) => {
+  if (!row.invitedList || row.invitedList.length === 0) {
+    return false;
+  }
+  return row.invitedList.some(inv => inv.invitedStatus >= 20);
+};
+
 // 加载会诊列表
 const loadConsultationList = async () => {
   if (!props.patientInfo?.encounterId) {
@@ -772,14 +787,16 @@ const handleRowClick = async (row) => {
       console.log('填充的医生列表:', selectedPhysiciansList.value);
       
       // 🎯 填充参与医生列表（显示确认和签名状态）
-      participatingPhysicians.value = row.invitedList.map(inv => ({
-        physicianId: inv.physicianId,
-        confirmingPhysicianName: inv.physicianName || '',
-        confirmingDeptName: inv.deptName || '',
-        signature: inv.signatureTime ? inv.physicianName : '',  // 有签名时间才显示签名医生
-        signatureDate: inv.signatureTime || null,
-      }));
-      
+      participatingPhysicians.value = row.invitedList
+        .filter(inv => inv.invitedStatus >= 20)  // 只显示已确认或已签名的医生
+        .map(inv => ({
+          physicianId: inv.physicianId,
+          confirmingPhysicianName: inv.physicianName || '',
+          confirmingDeptName: inv.deptName || '',
+          signature: inv.invitedStatus >= 30 ? inv.physicianName : '',  // 已签名才显示签名医生
+          signatureDate: inv.signatureTime || null,
+        }));
+
       console.log('参与医生列表:', participatingPhysicians.value);
     } else {
       selectedPhysiciansList.value = [];
@@ -1073,7 +1090,16 @@ const handleCompleteRow = async (row) => {
 // 查看详情
 const handleView = (row) => {
   handleRowClick(row);
-  ElMessage.info('该申请已完成或已取消，仅可查看');
+  // 根据状态显示不同的提示消息
+  if (row.consultationStatus === 10 && hasConfirmedOrSignedDoctor(row)) {
+    ElMessage.info('已有医生确认或签名，无法取消提交，仅可查看');
+  } else if (row.consultationStatus === 20) {
+    ElMessage.info('该申请已确认，等待签名');
+  } else if (row.consultationStatus === 40) {
+    ElMessage.info('该申请已完成，仅可查看');
+  } else if (row.consultationStatus === 50) {
+    ElMessage.info('该申请已取消，仅可查看');
+  }
 };
 
 // 作废