目的 探讨超声引导下Mammotome微创旋切系统在乳腺肿块诊治中的应用价值.方法 对218例乳腺肿块患者进行了高频超声引导下Mammotome微创乳腺旋切术治疗,评价其手术效果.结果 所有肿块均完成Mammotome微创旋切术,无一例失败.所有肿块均获得明确病理诊断,其中乳腺良性疾病214例,乳腺癌4例,9例出现轻度皮下淤斑,3例出现局部小血肿,5例出现局部皮肤凹陷,在随访中逐渐消退.结论 超声引导下Mammotome微创旋切系统进行乳腺肿块切除术,创伤小、并发症少、疗效好.“,”Objective To evaluate the application value of ultrasound-guided minimally invasive stereotactic breast excision in the diagnosis and treatment of breast mass. Methods The minimally invasive operations for 218 patients were performed by ultrasound-guided Mammotome system, and the therapeutic efficacy of Mammotome system was evaluated. Results All the patients were completely excised by the Mammotome system. No failed procedure occurred,all the masses were pathologically confirmed as benign lesions in 214 patients and invasive ductal carcinomas in 4 patients. Postoperatively, the incision scar was barely visible and no complications happened except for mild subcutaneous hemorrhage in 9 patients,local hematoma in 3 patients and local deep pitting of the skin in 5 patients. Conclusion Mammotome system shows many benefits with less trauma, more rapid recovery and with less complications.