目的探讨Mammotome切除乳腺纤维腺瘤的价值。方法对我院2006年12月至2008年3月期间超声诊断为乳腺纤维腺瘤的107例患者共129枚病灶行超声引导下Mammotome旋切术。结果 129枚肿瘤超声显示完整切除,肿物切除时间5~40 min,平均16 min。1例发生血肿,3例皮下瘀血,2例乳头溢血,无一例感染。2例皮肤切割者以创可贴拉合后2 d愈合。病理结果显示124枚为良性病变,5枚为恶性。年龄≥40岁者共20例,其中恶性3例。超声显示有钙化灶者共6枚,其中3枚为恶性。103例获门诊随访,随访时间2~12个月,平均5个月,超声发现2例复发。结论 Mammotome切除乳腺纤维腺瘤可同时达到诊断及治疗目的 ,美容效果好,对≥40岁及伴有钙化者要警惕恶性病变。 Objective To investigate the value of Mammotome resection of breast fibroadenoma. Methods A total of 129 lesions of 107 patients with breast fibroadenoma diagnosed by ultrasound in our hospital from December 2006 to March 2008 underwent ultrasound-guided Mammotome excision. Results 129 tumors showed complete resection by ultrasound and the tumor removal time was 5 ~ 40 min with an average of 16 min. One case had hematoma, 3 cases had subcutaneous bleeding, and 2 cases had nipple hemorrhage without any infection. Two cases of skin incision healed with a band-aid after 2 days. Pathological results showed that 124 were benign lesions and 5 were malignant. Aged 40 years or older were 20 cases, of which 3 cases of malignancy. Ultrasound showed a total of 6 calcification, of which 3 were malignant. 103 cases were outpatient follow-up, follow-up time of 2 to 12 months, an average of 5 months, 2 cases of recurrent ultrasound findings. Conclusion Mammotome excision of breast fibroadenoma can achieve the purpose of diagnosis and treatment at the same time. The cosmetic effect is good. For those who are over 40 years old and accompanied with calcification, they should be wary of malignant lesions.