目的探讨子宫切割器在乳腺纤维腺瘤小切口手术治疗中应用的可行性及其带来的微创、美容效果。方法对入组42例采用子宫切割器辅助下乳腺纤维腺瘤切除手术病例的手术操作、切口选择、创伤情况及美容效果进行回顾性分析。结果 42例均在小切口下显露良好,该方法操作便捷,在子宫切割器辅助下顺利完成肿瘤切除手术,术后切口愈合良好,随诊无复发及哺乳功能受损。结论在较大的乳腺纤维腺瘤切除术中应用子宫旋切器,操作简单,安全可靠,可以达到很好的微创、美容效果,值得推广。 Objective To investigate the feasibility of the application of uterine incision in the surgical treatment of breast fibroadenoma and its minimally invasive and cosmetic effects. Methods A retrospective analysis was performed on the surgical procedures, incision selection, trauma and cosmetic results of 42 cases who underwent resection of breast fibroadenoma assisted by uterine incision. Results All the 42 cases were well exposed under the small incision. The method was easy to operate. The tumor was successfully resected with the help of uterine incision. The incision healed well after operation. No recurrence and no impairment of lactation were observed. Conclusion Uterine rotary cutter is applied in the treatment of large breast fibroadenoma. It is easy to operate, safe and reliable, and can achieve good minimally invasive and cosmetic effects. It is worth to be popularized.