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目的：对比全髋置换术与半髋关节置换术治疗老年股骨颈骨折效果。方法：我院治疗老年股骨颈骨折52例患者，根据手术方案不同分组，各26例。对照组给予半髋关节置换术治疗；观察组给予全髋置换术治疗。统计对比两组手术情况（手术时间、术中出血量、住院时间）及6个月后随访两组治疗优良率。结果：观察组术中出血量、手术时间均大于对照组，差异均有统计学意义（P＜0.05）；观察组住院时间与对照组比较，差异无统计学意义（P＞0.05）；术后6个月后随访，观察组治疗优良率（96.15%）高于对照组（69.23%），差异有统计学意义（P＜0.05）。结论：全髋置换术治疗老年股骨颈骨折疗效显著，能明显改善髋关节功能。“,”Objective: To compare the effect of total hip arthroplasty and hemiarthroplasty in the treatment of femoral neck fracture in elderly patients.Methods: 52 cases elderly patients with femoral neck fracture treated in our hospital,grouping according to the different operation scheme, each of 26 cases. The control group was treated with hemiarthroplasty, and the observation group was treated with total hip arthroplasty. Statistics and comparison of the two groups of operation (operation time, blood loss, length of hospital stay) and folow up after 6 months the treatment of two groups of patients with excelent rate of treatment.Results: The amount of bleeding and operation time in the observation group were al higher than that in the control group, the difference was statisticaly significant (P0.05); After 6 months of folow-up, the excelent rate of observation group (96.15%) was higher than that of control group (69.23%), and the difference was statisticaly significant (P < 0.05).Conclusion: Total hip arthroplasty in the treatment of femoral neck fracture in elderly patients with significant curative effect, can significantly improve the hip function.