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目的分析总结胆囊息肉样病变的临床、病理、诊断等特征．方法我院及中华医学会第七届全国胆道外科学术会议资料共报道胆囊息肉样病变６１２例进行分析和总结．结果胆囊息肉样病变６１２例占同期胆囊切除术的４２％；３０岁～５０岁占７８５％；结石合并率２８５％；病理类型中以胆固醇息肉最多，占５３７％；腺瘤性息肉恶变率极高，达２８５％；临床表现无特异性，Ｂ超的诊断率最高，达９２５％．结论胆囊息肉样病变患者相对年轻；病理类型以胆固醇类多见，腺瘤性息肉易恶变，特别是合并结石的息肉；临床诊断以Ｂ超为首选
3. Objective To analyze the clinical, pathological and diagnostic features of polypoid lesions of the gallbladder. Methods A total of 612 cases of polypoid lesions of the gallbladder were analyzed and summarized in our hospital and the 7th National Academic Conference on Biliary Surgery of the Chinese Medical Association. Results Gallbladder polypoid lesions accounted for 4.2% of cholecystectomy in the same period; 30-50 years old accounted for 78%; stone consolidation rate was 28.5%; pathological types were highest in cholesterol polyps, accounting for 53%. The malignant rate of adenomatous polyps is extremely high, reaching 285%; the clinical manifestations are non-specific, and the diagnostic rate of B ultrasound is the highest, reaching 925%. Conclusions The patients with polypoid lesions of the gallbladder are relatively young; the pathological types are more common with cholesterol, and the adenomatous polyps are more likely to be malignant, especially polyps with stones; the clinical diagnosis is B-mode ultrasound.