Objective To compare the effect of total hip replacement and artificial femoral head replacement in treat-ment of femoral neck fractures in senile patients. Methods All 100 patients were selected as the research object in our hospital from 2009 June to 2014 June, all aged over 60 years old, signed the informed consent. The patients were di-vided into A group and B group,with 50 cases in each group,group A underwent total hip arthroplasty,group B under-went artificial femoral head replacement. Results All the patients were follow-up for 1 years,the follow-up rate A was 100%. The excellent rate of hip joint function after operation in group A was 84%, the excellent rate in B group was 62%,there were significant differences (χ2=6.329,P<0.05). Display the postoperative follow-up of 3, 6 months, the Harris score in group A after 6 months compared with after surgery 3 months significantly increased, and the Harris score in group A after 3 months,6 months were higher than that of group B,there were significant differences(P<0.05). Operation time of A group were significantly longer than those of group B,the amount of bleeding,postoperative group A after drainage were significantly more than that in group B, the difference was significant(P<0.05). The incidence of complications of group A and B, with no significant difference (P>0.05). Conclusion Total hip arthroplasty and hemiarthroplasty was one of effective methods to treat femoral neck fractures in the elderly, the advantages and disad-vantages of each, the treatment of senile femoral neck according to the specific circumstances of patients timely, rea-sonable selection of treatment method of the bone fracture, as soon as possible to relieve pain, reduce the femoral neck fracture serious complications,reduce the mortality rate.%目的：对比全髋关节置换术与人工股骨头置换术治疗老年股骨颈骨折的临床疗效。方法选取我院2009年6月~2014年6月收治的老年股骨颈骨折患者100例作为研究对象，年龄均≥60岁，均签署知情同意书。全部入选的老年股骨颈骨折患者分为A组和B组，各50例，A组行全髋关节置换术，B组行人工股骨头置换术。结果所有患者均术后随访1年，随访率100%。 A组术后髋关节功能的优良率达84%，B组术后髋关节功能的优良率达62%，两组差异存在显著性（χ2=6.329，P<0.05）。术后随访3、6个月显示，A组的Harris评分术后6个月较术后3个月显著提高，且A组的Harris评分术后3个月、6个月分别高于B组，差异存在显著性（P<0.05）。A组患者的手术时间显著长于B组，A组的术中出血量、术后引流量显著多于B组，差异存在显著性（P<0.05）。A组患者并发症发生率与B组比较，差异不存在显著性（P>0.05）。结论全髋关节置换术与人工股骨头置换术均为治疗老年股骨颈骨折的有效方法之一，各具优缺点，治疗老年股骨颈骨折需根据患者的具体情况适时、合理选择治疗方法，以尽快缓解患者疼痛，减少股骨颈骨折严重并发症发生，降低死亡率。
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