Abstract:Medical image segmentation grapples with challenges including multi-scale lesion variability, ill-defined tissue boundaries, and computationally intensive processing demands. This paper proposes the DyGLNet, which achieves efficient and accurate segmentation by fusing global and local features with a dynamic upsampling mechanism. The model innovatively designs a hybrid feature extraction module (SHDCBlock), combining single-head self-attention and multi-scale dilated convolutions to model local details and global context collaboratively. We further introduce a dynamic adaptive upsampling module (DyFusionUp) to realize high-fidelity reconstruction of feature maps based on learnable offsets. Then, a lightweight design is adopted to reduce computational overhead. Experiments on seven public datasets demonstrate that DyGLNet outperforms existing methods, particularly excelling in boundary accuracy and small-object segmentation. Meanwhile, it exhibits lower computation complexity, enabling an efficient and reliable solution for clinical medical image analysis. The code will be made available soon.