Objective To improve the levels of diagnosis and treatment of testicular torsion. Methods The clinical data of 38 cases of testicular torsion were summarized and analyzed. B-ultrasound showed that the positions of testis and epididymis were changed in scrotum and the blood supply in testis was reduced or disappeared. Results 36 patients (36/38) underwent surgical exploration. 12 cases who received operation within 6 hours from attack time had testicles survival. Of 24 patients who had operation more than 6 hours, only 5 patients had testicles survival. 2 patients refused operation. Conclusion Testicular torsion was often misdiagnosed;Color Doppler ultrasonic examination can serve as a chief adjuvant diagnostic method. Early diagnosis and timely treatment are keys to avoid testicular loss.%目的：总结睾丸扭转的诊疗经验。方法分析2002年～2012年收治的38例睾丸扭转患者的临床资料，所有患者均行超声检查，超声检查提示睾丸、附睾位置改变，睾丸内血流减少或消失。结果36例患者接受手术治疗，其中12例睾丸扭转时间＜6 h患者经手术复位后保留睾丸，2例术后随访发现睾丸较健侧睾丸体积减小。24例扭转时间＞6 h患者中，16例术中发现睾丸坏死行睾丸切除术；复位后睾丸存活5例，睾丸萎缩3例。结论睾丸扭转早期常易误诊，超声检查为首选的辅助检查手段；及早明确诊断、手术探查是避免睾丸坏死、萎缩的关键。
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