精索扭转是一种紧急的情况,需立刻诊断与治疗以达到保存能活的睾丸。皋丸扭转不罕见,大多数病例发生在二十岁之内。皋丸扭转在大于30岁是罕见的,文献上报导过的不到50例。睾丸扭转是不知不觉间加剧的或突然发生的中度到剧烈的痛,随后受累睾丸异常的触痛,许多病人有间歇性睾丸痛与自然缓解。常伴恶心呕吐,无泌尿系症状,发热和白血球增多。体检将发现付睾与触痛且肿胀的睾丸分离。付睾可能不是在它通常的后位——睾丸可横位或重叠,精索在睾丸之上可变粗有时扪到明显的结节。覆盖其上面的单侧阴囊常水肿,偶见睾丸上面的皮肤坚实固定。 [资料和方法]从1958——1978年作者所在医院 Torsion sling is an emergency situation that requires immediate diagnosis and treatment in order to achieve a viable testicular. Gao pills reverse is not uncommon, most cases occur within two years of age. Gao pills twisted in more than 30 years of age is rare, reported in the literature less than 50 cases. Testicular torsion is unconsciously aggravated or sudden onset of moderate to severe pain, followed by involvement of abnormal testicular tenderness, many patients have intermittent testicular pain and natural relief. Often accompanied by nausea and vomiting, no urinary symptoms, fever and white blood cells increased. Physical examination will find that testis and tenderness and swelling of the testis separation. Testicular attachment may not be in its usual posterior position - testes may be transverse or overlapping, spermatic cord thickening above the testicles sometimes palpably visible nodules. Overlying the unilateral scrotum often edema, occasionally testicular skin above the solid fixed. [Materials and Methods] From 1958 to 1978 author’s hospital