目的 分析睾丸扭转的诊断和治疗方法。方法对46例睾丸扭转患者的临床资料进行回顾性分析。结果 46例患者中,初诊确诊为睾丸扭转者19例(41.3%),延误诊断27例(58.7%)。病程<6 h者14例(30.4%),6~12 h者11例(23.9%),>12 h者21例(45.7%)。46例患者均施行手术探查,其中30例(65.2%)行睾丸切除术,行睾丸保留固定术16例(34.8%),同时行预防性对侧睾丸固定术。彩色多普勒血流显像(CDFI)确诊43例(93.5%)。41例患者随访6月~12年,未发生睾丸扭转。结论 CDFI是诊断睾丸扭转的重要检查方法。睾丸扭转的早期诊断尤其重要,及时手术探查是减少睾丸丢失的关键。建议常规预防性固定对侧睾丸。 Objective To analyze the diagnosis and treatment of testicular torsion. Methods The clinical data of 46 patients with testicular torsion were retrospectively analyzed. Results Of the 46 patients, 19 (41.3%) were newly diagnosed as testicular torsion and 27 (58.7%) were delayed in diagnosis. 14 cases (30.4%) were in the course of <6 hours, 11 cases (23.9%) in 6 ~ 12 hours, and 21 cases (45.7%) in> 12 hours. Forty-six patients underwent surgical exploration. Thirty (65.2%) patients underwent orchiectomy. Sixteen patients (34.8%) underwent testicular retention and prophylactic contralateral testicular fixation. Color Doppler flow imaging (CDFI) confirmed 43 cases (93.5%). 41 patients were followed up for 6 months to 12 years, no testicular torsion occurred. Conclusion CDFI is an important method to diagnose testicular torsion. Early diagnosis of testicular torsion is particularly important, timely surgical exploration is the key to reducing testicular loss. Proposed routine preventive contralateral testicular fixation.