diff --git a/python/sglang/srt/hardware_backend/npu/attention/ascend_backend.py b/python/sglang/srt/hardware_backend/npu/attention/ascend_backend.py
index 62d3b974a..e95072db6 100644
--- a/python/sglang/srt/hardware_backend/npu/attention/ascend_backend.py
+++ b/python/sglang/srt/hardware_backend/npu/attention/ascend_backend.py
@@ -44,6 +44,13 @@ logger = logging.getLogger(__name__)
 FULL_ATTENTION_WINDOW = 2147483647
 
 
+def _expand_dsa_sparse_indices(topk_indices: torch.Tensor) -> torch.Tensor:
+    """Expand [T, K] to [T, 1, K] for NPU sparse attention."""
+    if topk_indices.dim() == 2:
+        return topk_indices.unsqueeze(-2)
+    return topk_indices
+
+
 def _reshape_kv_for_fia_nz(
     tensor: torch.Tensor, num_heads: int, head_dim: int, page_size: int
 ) -> torch.Tensor:
@@ -1053,6 +1060,7 @@ class AscendAttnBackend(AttentionBackend):
                 actual_seq_lengths_kv,
             )
         else:
+            topk_indices = _expand_dsa_sparse_indices(topk_indices)
             attn_out, _, _ = torch_npu.npu_sparse_flash_attention(
                 query=q_nope,
                 key=k_nope,
diff --git a/python/sglang/srt/layers/attention/dsa/dsa_indexer.py b/python/sglang/srt/layers/attention/dsa/dsa_indexer.py
index e6a1b8331..196639f18 100644
--- a/python/sglang/srt/layers/attention/dsa/dsa_indexer.py
+++ b/python/sglang/srt/layers/attention/dsa/dsa_indexer.py
@@ -2342,7 +2342,8 @@ class Indexer(MultiPlatformOp):
                 sparse_count=self.index_topk,
                 sparse_mode=3,
             )
-            return topk_indices[0]
+            # Keep DSA top-k as [T, K]; NPU attention expands it when needed.
+            return topk_indices[0].squeeze(1)
 
     def do_npu_cp_balance_indexer(
         self,