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目的 研究X线与CT影像在股骨颈骨折诊断中的临床价值?方法 研究对象抽取我院骨科在2017年至2020年期间确诊患有股骨颈骨折疾病的88例患者，基于患者自愿原则，将选择CT影像诊断方案的44例患者归为研究组，将选择X线诊断方案的44例患者归为对照组，比较两组患者的检测诊断准确率差异?骨折分型检出率差异以及骨折症状检出情况?结果 对照组44例患者通过X线检查后，结果显示有4例患者为嵌入式骨折，有6例患者为附件骨折，有10例患者为骨折脱位，有15例患者为骨折线错位，总诊断准确率为79.55%;研究组44例患者“,”Objective To study the effect and value of X-ray and CT in the diagnosis of femoral neck fracture. Methods Eighty-eight patients diagnosed with femoral neck fracture disease in the Department of orthopedics of our hospital from 2017 to 2020 were selected. Based on the principle of patient voluntariness， 44 patients who chose CT image diagnosis scheme were classified into the study group and 44 patients who chose X-ray diagnosis scheme were classified into the control group. The difference of detection and diagnosis accuracy between the two groups was compared the differences in the detection rate of fracture classification and the detection of fracture symptoms. Results After 44 patients in the control group passed the X-ray examination， the results showed that 4 patients were embedded fractures， 6 patients were accessory fractures， 10 patients were fracture dislocation and 15 patients were fracture line dislocation. The total diagnostic accuracy was 79.55%; after 44 patients in the study group passed CT examination， the results showed that 6 patients were embedded fractures， 7 patients were accessory fractures， 12 patients were fracture dislocation， and 19 patients were fracture line dislocation. The total diagnostic accuracy was 100.00%. The diagnostic accuracy of the study group was significantly higher than that of the control group (P0.05)， but the detection rate of cervical fracture in the control group was significantly lower than that in the study group (31.82% vs. 45.45%)， and the detection rate of basal fracture was significantly lower than that in the study group (4.55% vs. 20.45%). The total detection rate of the study group was significantly higher than that of the control group (65.92% vs. 97.72%， P<0.05). The total detection rate of femoral tibial fracture symptoms in the study group was significantly higher than that in the control group (100.00% vs. 86.36%)， and the difference was statistically significant (P<0.05). The clear presentation rate of bone rotation and displacement in the study group was significantly higher than that in the control group (100.00% vs. 34.09%)， and the difference was statistically significant (P<0.05). The presence rate of debris in the study group was significantly higher than that in the control group (88.64% vs. 40.91%)， and the difference was statistically significant (P<0.05). Conclusion In the clinical diagnosis of patients with femoral neck fracture， compared with X-ray examination， the accuracy of CT image is significantly higher， which is more conducive to detect different types and fracture symptoms of femoral neck fracture. Therefore， CT image examination has more significant application value.