目的探讨Mammotome微创旋切系统对乳腺良性病灶进行微创切除的治疗价值。方法在超声图像监控下,利用Mammotome系统对310例1 160个乳腺肿块进行切除及病理检查,记录术后随访情况。并回顾性分析其临床资料。结果全组1 160个乳腺肿块被准确地完全切除。切除组织量大,足以用于病理诊断。术后病理学诊断均为良性;672个肿块为纤维腺瘤,451个为纤维腺病,12个为导管内乳头状瘤,6个为囊肿,17个为囊性增生,2个为管状腺瘤。术后每6～12个月定期复查,发现术后切口瘢痕不明显,切口小而隐蔽,乳腺外形及皮肤感觉正常,超声未发现病灶残留,复发。结论Mammotome技术对乳腺良性病灶可进行完整切除,是准确、有效、安全、创伤小、并发症少,不影响外观,是值得推广的乳腺微创技术。 Objective To investigate the value of Mammotome minimally invasive surgical removal of benign breast lesions. Methods Mammotome system was used to excise and pathological examination of 1 160 breast masses in 310 cases under ultrasound image monitoring. The postoperative follow-up was recorded. The clinical data were retrospectively analyzed. Results All 1 160 breast masses were completely and completely excised. Large amount of resected tissue, enough for pathological diagnosis. Postoperative pathological diagnosis was benign; 672 masses were fibroadenomas, 451 were fibrous adenosis, 12 were intraductal papillomas, 6 were cysts, 17 were cystic hyperplasia, and 2 were tubular glands tumor. Every 6 to 12 months after the regular review, found that incision scar is not obvious, incision small and hidden, breast shape and skin feel normal, no lesions were found by ultrasound, recurrence. Conclusion Mammotome technique can be used for the complete resection of benign breast lesions. It is accurate, effective, safe, less invasive and has fewer complications and does not affect the appearance. It is worthy of promotion of minimally invasive breast surgery.