Wetlands form a crucial component of ecosystems, and wetland restoration serves as an effective strategy for promoting sustainable urban development. Spatial support is essential for wetland restoration, meaning that research on wetland spatial planning is of considerable importance. Existing studies on wetland spatial planning primarily focus on the analysis of wetland spatial distribution characteristics, with limited exploration of wetland spatial relationships. This paper aims to explore the potential of utilizing both spatial distribution characteristics and spatial relationships to identify wetland spatial issues, thereby facilitating the formulation of wetland spatial planning strategies. Using Tianjin City as a case study, this research applies nearest neighbor analysis, the geographic concentration index, the Gini index, and kernel density analysis to identify the spatial distribution characteristics of wetlands in Tianjin. Additionally, spatial autocorrelation analysis and connectivity analysis are employed to identify the interrelationships among wetlands in Tianjin. Based on the results derived from the analysis of spatial distribution characteristics and spatial relationships, wetland spatial planning strategies are proposed. The effectiveness of these strategies is validated using methods that consider both spatial distribution characteristics and spatial relationships. The findings reveal that, although wetlands in Tianjin are widely distributed, large wetland patches are primarily concentrated in areas with abundant water resources, while the six districts within the city have few or no large patches of wetlands. The spatial distribution of wetlands is highly uneven, exhibiting patterns of high–high aggregation and low–low aggregation. The number of connecting paths between wetland patches is relatively low, indicating a generally low overall connectivity. While medium-sized and larger wetland patches maintain the connectivity of existing wetlands in Tianjin, small wetlands that serve as stepping stones are lacking. Following the implementation of planning strategies, there would be an increase in the wetland area in Tianjin, accompanied by significant improvements in the spatial distribution pattern and spatial relationships of the wetlands.