diff --git a/apps/miniprogram/src/pages/ai-report/detail/index.scss b/apps/miniprogram/src/pages/ai-report/detail/index.scss
index 31d812b..52cfd91 100644
--- a/apps/miniprogram/src/pages/ai-report/detail/index.scss
+++ b/apps/miniprogram/src/pages/ai-report/detail/index.scss
@@ -1,21 +1,6 @@
 @import '../../../styles/variables.scss';
 @import '../../../styles/mixins.scss';
 
-.detail-page {
-  min-height: 100vh;
-  background: $bg;
-  padding: 24px;
-  padding-bottom: 40px;
-}
-
-.detail-card {
-  background: $card;
-  border-radius: $r;
-  padding: 28px;
-  margin-bottom: 20px;
-  box-shadow: $shadow-sm;
-}
-
 .detail-type {
   @include section-title;
   margin-bottom: 12px;
@@ -31,12 +16,7 @@
   color: $tx3;
 }
 
-.content-card {
-  background: $card;
-  border-radius: $r;
-  padding: 28px;
-  box-shadow: $shadow-sm;
-
+.content-card-wrap {
   // RichText 内部样式
   h1, h2, h3 {
     font-weight: bold;
diff --git a/apps/miniprogram/src/pages/ai-report/detail/index.tsx b/apps/miniprogram/src/pages/ai-report/detail/index.tsx
index 3feb5b8..19c2a26 100644
--- a/apps/miniprogram/src/pages/ai-report/detail/index.tsx
+++ b/apps/miniprogram/src/pages/ai-report/detail/index.tsx
@@ -4,6 +4,8 @@ import Taro, { useRouter } from '@tarojs/taro';
 import { usePageData } from '@/hooks/usePageData';
 import { getAiAnalysisDetail, type AiAnalysisItem } from '@/services/ai-analysis';
 import Loading from '@/components/Loading';
+import PageShell from '@/components/ui/PageShell';
+import ContentCard from '@/components/ui/ContentCard';
 import { sanitizeHtml } from '@/utils/sanitize-html';
 import { useElderClass } from '../../../hooks/useElderClass';
 import './index.scss';
@@ -54,9 +56,9 @@ export default function AiReportDetail() {
 
   if (!analysis) {
     return (
-      <View className={`detail-page ${modeClass}`}>
+      <PageShell className={modeClass}>
         <Text className='empty-text'>报告不存在</Text>
-      </View>
+      </PageShell>
     );
   }
 
@@ -68,8 +70,8 @@ export default function AiReportDetail() {
   const isAutoAnalysis = (analysis.result_metadata as Record<string, unknown>)?.auto_analysis === true;
 
   return (
-    <View className={`detail-page ${modeClass}`}>
-      <View className='detail-card'>
+    <PageShell className={modeClass}>
+      <ContentCard>
         <Text className='detail-type'>{TYPE_LABELS[analysis.analysis_type] || analysis.analysis_type}</Text>
         <View className='detail-meta'>
           <Text className='meta-item'>模型: {analysis.model_used}</Text>
@@ -80,7 +82,7 @@ export default function AiReportDetail() {
             <Text className='auto-badge-text'>系统自动分析</Text>
           </View>
         )}
-      </View>
+      </ContentCard>
 
       {isTrendAnalysis && (
         <View className='trend-tip-card'>
@@ -90,9 +92,9 @@ export default function AiReportDetail() {
         </View>
       )}
 
-      <View className='content-card'>
+      <ContentCard className='content-card-wrap'>
         <RichText className='report-content' nodes={htmlContent} />
-      </View>
-    </View>
+      </ContentCard>
+    </PageShell>
   );
 }
diff --git a/apps/miniprogram/src/pages/appointment/detail/index.scss b/apps/miniprogram/src/pages/appointment/detail/index.scss
index e4dd1f6..d8cc7f2 100644
--- a/apps/miniprogram/src/pages/appointment/detail/index.scss
+++ b/apps/miniprogram/src/pages/appointment/detail/index.scss
@@ -1,55 +1,13 @@
 @import '../../../styles/variables.scss';
 @import '../../../styles/mixins.scss';
 
-.detail-page {
-  min-height: 100vh;
-  background: $bg;
-  padding-bottom: 160px;
-}
-
-/* 顶部导航 */
-.detail-header {
-  display: flex;
-  align-items: center;
-  justify-content: space-between;
-  padding: 32px;
-  padding-top: 48px;
-  background: $card;
-  box-shadow: $shadow-sm;
-}
-
-.back-btn {
-  padding: 8px 0;
-}
-
-.back-text {
-  font-size: var(--tk-font-body-lg);
-  color: $pri;
-  font-weight: 500;
-}
-
-.header-title {
-  font-family: 'Georgia', 'Times New Roman', serif;
-  font-size: var(--tk-font-num-lg);
-  font-weight: bold;
-  color: $tx;
-}
-
-.header-placeholder {
-  width: 60px;
-}
-
 /* 状态卡片 */
-.status-card {
-  background: $card;
-  border-radius: $r-lg;
-  padding: 40px 32px;
-  margin: 20px 24px 24px;
-  box-shadow: $shadow-md;
+.status-card-wrap {
   display: flex;
   flex-direction: column;
   align-items: center;
   gap: 12px;
+  margin: 20px 24px 24px;
 }
 
 .status-tag {
@@ -97,12 +55,8 @@
 }
 
 /* 详情信息 */
-.info-section {
+.info-section-wrap {
   margin: 0 24px 24px;
-  background: $card;
-  border-radius: $r;
-  padding: 28px;
-  box-shadow: $shadow-sm;
 }
 
 .section-title {
@@ -171,11 +125,9 @@
 }
 
 /* 温馨提示 */
-.tips-card {
+.tips-card-wrap {
   margin: 0 24px 24px;
   background: $wrn-l;
-  border-radius: $r;
-  padding: 24px 28px;
 }
 
 .tips-title {
diff --git a/apps/miniprogram/src/pages/appointment/detail/index.tsx b/apps/miniprogram/src/pages/appointment/detail/index.tsx
index 8bd774b..769ff05 100644
--- a/apps/miniprogram/src/pages/appointment/detail/index.tsx
+++ b/apps/miniprogram/src/pages/appointment/detail/index.tsx
@@ -5,6 +5,9 @@ import { getAppointment, cancelAppointment } from '../../../services/appointment
 import type { Appointment } from '../../../services/appointment';
 import Loading from '../../../components/Loading';
 import ErrorState from '../../../components/ErrorState';
+import PageShell from '@/components/ui/PageShell';
+import ContentCard from '@/components/ui/ContentCard';
+import PageHeader from '@/components/patterns/PageHeader';
 import { useElderClass } from '../../../hooks/useElderClass';
 import { useSafeTimeout } from '@/hooks/useSafeTimeout';
 import './index.scss';
@@ -65,53 +68,39 @@ export default function AppointmentDetail() {
     }
   };
 
-  const goBack = () => Taro.navigateBack();
-
   if (loading) {
     return (
-      <View className={`detail-page ${modeClass}`}>
-        <View className='detail-header'>
-          <View className='back-btn' onClick={goBack}><Text className='back-text'>返回</Text></View>
-          <Text className='header-title'>预约详情</Text>
-          <View className='header-placeholder' />
-        </View>
+      <PageShell padding='none' scroll={false} className={modeClass}>
+        <PageHeader title='预约详情' />
         <Loading />
-      </View>
+      </PageShell>
     );
   }
 
   if (error || !appointment) {
     return (
-      <View className={`detail-page ${modeClass}`}>
-        <View className='detail-header'>
-          <View className='back-btn' onClick={goBack}><Text className='back-text'>返回</Text></View>
-          <Text className='header-title'>预约详情</Text>
-          <View className='header-placeholder' />
-        </View>
+      <PageShell padding='none' scroll={false} className={modeClass}>
+        <PageHeader title='预约详情' />
         <ErrorState text='未找到预约信息' />
-      </View>
+      </PageShell>
     );
   }
 
   return (
-    <View className={`detail-page ${modeClass}`}>
-      <View className='detail-header'>
-        <View className='back-btn' onClick={goBack}><Text className='back-text'>返回</Text></View>
-        <Text className='header-title'>预约详情</Text>
-        <View className='header-placeholder' />
-      </View>
+    <PageShell padding='none' scroll={false} className={modeClass}>
+      <PageHeader title='预约详情' />
 
       {/* 状态卡片 */}
-      <View className='status-card'>
+      <ContentCard variant='elevated' className='status-card-wrap'>
         <View className={`status-tag ${status.className}`}>
           <Text className='status-tag-text'>{status.label}</Text>
         </View>
         <Text className='status-doctor'>{appointment.doctor_name}</Text>
         <Text className='status-dept'>{appointment.department || ''}</Text>
-      </View>
+      </ContentCard>
 
       {/* 预约信息 */}
-      <View className='info-section'>
+      <ContentCard className='info-section-wrap'>
         <Text className='section-title'>预约信息</Text>
 
         <View className='info-item'>
@@ -145,14 +134,14 @@ export default function AppointmentDetail() {
           </View>
           <Text className='info-value info-id'>{appointment.id}</Text>
         </View>
-      </View>
+      </ContentCard>
 
       {/* 温馨提示 */}
       {(appointment.status === 'pending' || appointment.status === 'confirmed') && (
-        <View className='tips-card'>
+        <ContentCard className='tips-card-wrap'>
           <Text className='tips-title'>温馨提示</Text>
           <Text className='tips-text'>请按预约时间提前15分钟到达，携带有效身份证件和医保卡。</Text>
-        </View>
+        </ContentCard>
       )}
 
       {/* 取消按钮 */}
@@ -166,6 +155,6 @@ export default function AppointmentDetail() {
           </View>
         </View>
       )}
-    </View>
+    </PageShell>
   );
 }