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目的：了解罕见的脊柱棘球蚴病的诊断与治疗情况。方法：对５ 例脊柱棘球蚴病进行回顾分析。结果：２ 例单纯脊柱棘球坳病在术前未明确诊断，３ 例脊柱棘球蚴病同时合并其它脏器棘球蚴病在术前明确了诊断。１ 例因全身情况欠佳而未能手术，另４ 例行手术治疗，术后平均随诊４０ ｍｏ，２ 例复发，２ 例良好。结论：单纯脊柱棘球蚴病因缺乏典型特征而不易诊断，合并其它脏器棘球蚴病时对脊柱棘球蚴病的诊断有重要的参考价值。彻底切除病变、解除脊髓压迫和防止术中污染是取得良好疗效的关键。彻底切断棘球蚴的生活周期与污染途径是根治此病的基础。
Objective: To understand the rare diagnosis and treatment of spine hydatid disease. Methods: Five cases of spine hydatidosis were retrospectively analyzed. Results: Two cases of spina bifida were not diagnosed preoperatively. Three cases of echinococcosis combined with other echinococcosis were diagnosed preoperatively. One patient was unable to operate due to poor general condition, and the other 4 patients underwent surgery. The average follow-up time was 40 months, 2 patients relapsed and 2 patients were good. Conclusion: The etiology of simple spine hydatidosis is not typical and difficult to diagnose. Combined with other echinococcosis, there is an important reference value for the diagnosis of spine hydatid disease. Complete removal of the lesion, relieve spinal cord compression and prevent intraoperative contamination is the key to good effect. Thoroughly cut off the life cycle of echinococcosis and pollution is the cure for the disease.