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To protect the information integrity of the medical images, this paper proposes a secure lossless recovery scheme for medical images based on image block compression and permutation ordered binary (POB) number system, which includes two parts: share generation, and lossless recovery. In the shares generation stage, the region of interest (ROI) of the original medical image and the image block compression coding algorithm JPEG-LS, are firstly adopted to generate the compressed data, which can use limited storage space to place the data repeatedly. Then, after separating the bit-plane, the compressed data are executed by data reorganization and data encryption respectively on the high-plane and the low-plane. Finally, two authentication bits are extracted by 8-bit pixel of two planes to be inserted into the pixel itself, and then the 10-bit pixel is converted into an 8-bit POB value to produce two shares of ShareH and ShareL, respectively. In the lossless recovery stage, data of placing repeatedly can restore the original image. At the same time, three attacks are carried in the two shares, which contain content cropping, content exchange, and text addition. Some comparisons with other schemes present that the proposed scheme implements a better performance under some criteria. Theoretical analysis and experimental results demonstrate that the original image can be recovered losslessly even if two shares are tampered at the ration more than 50%.