根据神朔线蛇口峁隧道检测结果，阐述铁路隧道目前存在着的主要病害形式，主要有拱墙裂缝及拱墙相接部位错台、拱墙渗漏水、隧底积水、隧底及水沟开裂、道床下沉等。在对检测数据进行整理的基础上，对各种病害的成因进行了分析，最后提出了相应的整治措施建议，对指导工程设计及施工都具有一定的实用价值。

Taking Shekoumao tunnel on ShenmuShuozhou railway as an example, the author presents the types of the major diseases of railway tunnels, including cracks of arches and side walls, offsets between arches and side walls, water leakage of arches and side walls, accumulated water on tunnel bottoms, cracks of tunnel bases and drainage ditches and roadbed settlement. The author also analyzes on the causes for these diseases and proposes corresponding treatment measures. The paper can provide reference for the design and construction of similar projects in the future.