本文报告68例经手术及病理证实的胆囊息肉样病变。对其病理分类,年龄分布、病变大小、临床表现、合并症和术前B超诊断等资料进行分析。作者认为:胆囊息肉样病变的手术时机取决于息肉的大小、数量、肿块增大的速度和病人的年龄等因素。对直径小于0.5cm的病变、多发性病变、年龄小于50岁、无明显胆囊炎胆石症临床表现者,可定期B超随诊。 This article reports 68 cases of gallbladder polypoid lesions confirmed by surgery and pathology. The histological classification, age distribution, lesion size, clinical manifestations, complications, and preoperative ultrasound diagnosis were analyzed. The authors believe that the timing of surgery for polypoid lesions in the gallbladder depends on factors such as the size of the polyp, the number of polyps, the rate at which the mass increases, and the age of the patient. For patients with lesions less than 0.5cm in size, multiple lesions, age less than 50 years, and no clinical manifestations of cholecystitis and cholecystitis, B ultrasound can be followed up regularly.