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目的：观察人工髋关节置换术治疗股骨颈骨折的临床效果。方法回顾性分析65例股骨颈骨骨折患者临床资料。根据患者治疗方式不同分为观察组32例与对照组33例。观察组接受人工髋关节置换术，对照组接受人工股骨头置换术。分析、比较2组手术时间、手术出血量、住院时间及术后远期关节功能评价等。结果观察组手术时间及手术出血量明显短于或少于对照组（P＜0．05）；2组住院时间比较差异无统计学意义（P＞0．05）。观察组远期总有效率为84．37％，高于对照组的51．52％（P＜0．01）。结论人工髋关节置换术远期关节功能恢复较人工股骨头置换术好，不良反应少，可有效改善患者生活质量，在患者对手术可耐受的前提下可优先选择。“,”Objective To observe the clinical effect of artificial hip replacement in the treatment of femoral neck frac-ture.Methods The clinical data of 65 cases of femoral neck fracture were analyzed retrospectively.According to the different treatment methods,the patients were divided into observation group (32 cases) and control group (33 cases).The observation group received artificial hip replacement,the control group received the artificial femoral head replacement.The operation time, bleeding volume,length of stay,and the evaluation of long-term joint function after operation were recorded and compared be-tween the 2 groups.Results The operation time and amount of bleeding in the observation group were significantly shorter than that in the control group (P0.05).The total effective rate of the observation group was 84.37%,higher than that of the control group was 51.52%(P<0.01) .Conclusion The long-term function of artificial hip joint replacement is better than that of artificial femoral head re-placement,and the adverse reaction is less,which can effectively improve the quality of life of patients.Patients with surgical tolerance may be selected for the first choice of artificial hip replacement.