Objective To explore the imaging feature of X-ray and CT in patients with femoral head necrosis, and Its clinical diagnostic value. Method A retrospective analysis of our hospital in January 2013 a period of clinical cases, 34 cases of femoral head necrosis in 48 x-ray and CT imagining data,analysis of the diagnostic method. Result In all 34 cases, 12 cases with two side necrosis, occupied 37.8%. 17 cases with one side necrosis, occupied 54.1%. In X-ray findings. There’re 5 cases of abnormal, 8 cases in stage I and Ⅱ, 12 cases in stage Ⅲ, 9 cases in stage Ⅳ. In CT features. There’re 2 cases of abnormal, 11 cases in stage Ⅰ and Ⅱ, 12 cases in Ⅲ, 9 cases in Ⅳ. Conclusion It’s a basic simply method to diagnose avasular necrosis of femoral head by X-ray finding, and to show the foundation of illness. But it’s hard to find the early stage avasular necrosis of femoral head. There’s advantage for of early ANFH and details in pathological by CT.