睾丸创伤性破裂并不少见,但双侧破裂者却鲜。本文报告4例(5次)外伤破裂,其中1例双侧在不同时间先后破裂。而单侧的3例中,1例并有副睾破裂,为文献中第2例。患者年龄16～22岁,多为运动时受伤。双侧先后破裂时间相隔12个月。患者均有伤侧睾丸剧烈肿痛伴阴囊瘀血或血肿。3次破裂曾先经非手术疗法(抬高、冷敷等)1至5天,后因无效而再手术。余2次则立即探查。仅1次为横断破裂,4次均为纵形破裂。采用多聚 Testicular traumatic rupture is not uncommon, but bilateral rupture is fresh. This article reports 4 cases (5 times) traumatic rupture, including 1 case of bilateral rupture at different times. In unilateral 3 cases, 1 case had ruptured epididymis, the second case in the literature. Patients aged 16 to 22 years old, mostly injured during exercise. The bilateral rupture time separated by 12 months. Patients have bruising testicular pain and swelling accompanied by scrotal stasis or hematoma. Three ruptures have been non-surgical treatment (elevation, cold, etc.) for 1 to 5 days, after reoperation due to ineffective. More than 2 times immediately probe. Only 1 time transverse rupture, 4 times longitudinal rupture. Using poly