目的 :明确急性精索扭转与急性附睾炎的诊断。方法 :对 6例术前诊断为急性精索扭转的病人进行手术探查。结果 :4例精索扭转病人早期误诊 ,导致扭转的睾丸被切除 ,其中 2例为急性附睾炎。结论 :根据临床特点和检查基本上可对二者进行鉴别 ,如鉴别困难应及时手术探查。 Objective: To clarify the diagnosis of acute spermatic cord torsion and acute epididymitis. Methods: Six cases of preoperative diagnosis of acute sphincter of patients were surgical exploration. Results: Four cases of spermatic cord torsion in patients with early misdiagnosis, resulting in the removal of the twisted testis, of which two cases of acute epididymitis. Conclusion: According to clinical features and examination can basically distinguish between the two, such as identification of difficult surgical exploration should be timely.