The relationship between economic development and environment and the evolution characteristics of spatial pattern in Hexi Corridor of Northwest China were analyzed based on Landsat images in 1985, 1995, 2000 and 2011 with twenty counties in Hexi Corridor chosen as the basic research units. The ecological economic harmony during 1985-2011 was estimated according to ESV (ecosystem services value) and EEH (ecological and economic harmony) index with the ecosystem services value estimation methods. The results showed that the land type of the study area dramatically changed during the study period, the grassland decreased badly, and the construction land and cultivated land increased quickly. The ESV showed an overall downward trend, especially in the Shiyang River basin and the middle of Heihe River. The ESV in the Shule River basin in this period. After 2000, the economic growth speeded up visibly in the study area. The economic development concentrated in the resource-based cities and regional central cities, and declined from the center of corridor to the both sides. The ecological-economic relation in Hexi Corridor experienced a transformation of "preliminary deterioration--further deterioration--low grade coordination". The EEH had large changes in the Shiyang River basin and the middle of Heihe River, which experienced a transformation of "conflict--more conflicts--less conflicts", however, there was little change in Shule River basin. The development mode and the comprehensive reclamation of Shiyang River basin and Heihe River basin had a significant influence on the regional ecological and economic harmony.