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目的：探索颈椎嗜酸性肉芽肿的诊断和治疗。方法：分析５例经病理证实颈椎嗜酸性肉芽肿的临床经过。３例有脊髓和神经根受压症状，其中２例行颈前路病灶清除植骨融合术，１例行颈后路附件病灶清除和桥式植骨术。２例只有颈痛和颈部活动受限，行石膏围领固定。结果：３例经手术治疗者随访１０个月至２年，效果满意。２例非手术治疗者中１例失随访，另１例病变停止发展而自愈。结论：本病有自愈倾向，也有转变为恶性网织细胞增生症的可能。
Objective: To explore the diagnosis and treatment of cervical eosinophilic granuloma. Methods: Five cases of pathologically confirmed clinical course of eosinophilic granuloma of the cervical spine were analyzed. Three patients had symptoms of spinal cord and nerve root compression. Two of them had anterior cervical debridement and bone graft fusion, and one had posterior cervical accessory lesion removal and bridge bone grafting. In 2 cases, only the neck pain and neck activity were limited, and the plaster collar was fixed. Results: Three patients who had undergone surgical treatment were followed up for 10 months to 2 years with satisfactory results. One of the 2 non-surgical treatment patients lost follow-up, and the other patient developed self-healing after the disease stopped developing. Conclusion: This disease has a tendency of self-healing, but also has the possibility of transformation to malignant reticulocyte hyperplasia.