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目的：对比分析空心螺钉内固定和全髋关节置换术治疗老年股骨颈骨折的临床疗效。方法回顾分析我科2011年1月~2013年1月住院治疗的85例老年股骨颈骨折患者，其中空心螺钉内固定组39例，全髋关节置换术组46例。比较两组患者住院时间、手术时间、出血量、术后并发症及髋关节的Har is评分等指标。结果所有患者随访12~18个月，平均15.3个月。两组患者手术时间、出血量、术后并发症率及Har is优良率的比较，均有显著性差异(<0.05)。住院时间无显著性差异(＞0.05)。结论手术内同定和全髋关节置换术治疗老年股骨颈骨折优点与不足并存，全髋关节置换术对临床疗效和功能活动的恢复更具有优势。“,”Objective Comparative analysis and internal fixation and total hip arthroplasty clinical ef icacy of femoral neck fractures.Methods A retrospective analysis was in January 2011~2013 85 cases of femoral neck fracture patients hospitalized,in which total hip arthroplasty group of 46 patients,cannulated screw fixation group 39 cases.Comparison of two groups of patients hospital stay, operative time,blood loss,postoperative complications and Har is hip scores and other indicators.Results Al patients were fol owed up 12~18 months,an average of 15.3 months.Comparison of two groups of patients surgery time,blood loss,postoperative complication rate,and Harris excel ent rate were significantly dif erent ( <0.05).Hospital stay was no significant dif erence ( ﹥0.05). Conclusion Surgery with fixed and total hip arthroplasty for femoral neck fracture advantages and disadvantages coexist,total hip replacement surgery to restore the ef icacy and functional activities more advantages.