单侧睾丸扭转除对患侧睾丸造成损伤外,还可能损伤对侧睾丸,进而对男性生育能力造成影响。睾丸切除术和睾丸复位固定术是确诊睾丸扭转后常用的手术方式,对于其两者的疗效目前尚无定论。术后监测精液质量、雄激素水平、抑制素B和抗精子抗体等有助于了解患者的生育能力是否受到影响。早期诊断并及时行手术探查有利于保留扭转的睾丸。 Unilateral testicular torsion in addition to ipsilateral testis injury, but also may damage the contralateral testis, which in turn affect male fertility. Orchidectomy and testicular reduction fixation is commonly used after the diagnosis of testicular torsion surgery, the efficacy of both for the present is not conclusive. Postoperative monitoring of semen quality, androgen levels, inhibin B and anti-sperm antibodies help to understand whether the patient’s fertility is affected. Early diagnosis and prompt surgical exploration help preserve the twisted testes.