目的探讨髂部火器伤并椎管内枪弹异物存留的诊治及临床疗效。方法对收治的1例髂部火器伤并椎管内枪弹异物存留患者行急诊腰椎管内金属异物摘除术,并随访疗效。结果术后伤口甲级愈合,经3年随访,患者双下肢肌力及感觉均恢复正常。结论火器伤所致的脊髓损伤致残率高,伤后宜急诊手术解除弹丸对脊髓的压迫,利于损伤神经的恢复。 Objective To investigate the diagnosis and treatment of iliac firearm wounds and the presence of foreign bodies in spinal canal bullets and its clinical efficacy. [Methods] One case of iliac firearm wound and intracranial bullet-tube foreign body occlusion was treated by emergency lumbar spinal metal foreign body removal and follow-up. Results Postoperative wound healing of grade A was normal after three years of follow-up. Conclusion The rate of disabling spinal cord injury caused by firearm injury is high. It is suggested that emergency surgery should relieve the oppression of the projectile on the spinal cord and facilitate the recovery of injured nerve.