目的:探讨提高睾丸扭转诊断及治疗水平的临床措施。方法:结合临床症状和体征确诊14例睾丸扭转;13例手术治疗,1例手法复位;结合文献对临床资料进行分析。结果:14例中13例行急诊睾丸探查术,1例行手法复位;8例行睾丸切除术,6例保留睾丸,睾丸切除率达57.1％;随访3～12月,复位睾丸及对测睾丸形态和功能正常。结论:对于睾丸扭转,早期诊断及早期开放手术是提高睾丸保留率的有效方法。 Objective: To explore the clinical measures to improve the diagnosis and treatment of testicular torsion. Methods: Fourteen cases of testicular torsion were diagnosed by clinical symptoms and signs. Thirteen cases were treated by surgery and one case was treated by manual reduction. The clinical data were analyzed based on the literature. Results: Of the 14 cases, 13 cases underwent emergency testicular exploration and 1 case underwent manual operation. Eight cases underwent orchiectomy. Six cases retained testis and testicular resection rate was 57.1%. During the follow-up from March to December, the testis and testis Form and function normal. Conclusion: For testicular torsion, early diagnosis and early open surgery is to improve the testicular retention rate of effective methods.