目的探讨睾丸扭转误诊原因与对策。方法总结22例6h 内未能明确诊断而致睾丸坏死患者的临床资料。结果 22例患者均经手术证实为睾丸扭转,因未能及时诊断,延误时机而切除了缺血坏死的睾丸。结论睾丸扭转虽非常见,但一旦误诊,常导致患睾坏死切除,早期诊治至关重要。 Objective To investigate the causes and countermeasures of misdiagnosis of testicular torsion. Methods The clinical data of 22 patients with testicular necrosis who were not diagnosed within 6 hours were summarized. Results Twenty-two patients were confirmed by surgery for the testicular torsion, because of failure to timely diagnosis, delayed the opportunity to remove the testis of ischemic necrosis. Conclusion Although testicular torsion is very common, once misdiagnosis, often leads to the removal of testicular necrosis, early diagnosis and treatment is essential.