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目的 探讨原发性胆囊癌与胆囊息肉的关系。方法 根据８ 年来所收治的胆囊息肉１０１９ 例及同期收治的６６ 例原发性胆囊癌进行分析。结果 非肿瘤性息肉占收治病人的９７％ ，肿瘤性息肉占３％ 。胆囊息肉恶变占胆囊腺瘤性息肉的２３％ 。结论 息肉直径大于１ｃｍ ，单发、基底部宽、半球形，类园形或乳头状，在 Ｂ超下表现为高回声的胆囊息肉应考虑为肿瘤性息肉，宜尽早手术治疗，而无症状的非肿瘤性息肉可追踪观察，不必急于手术。
Objective To investigate the relationship between primary gallbladder carcinoma and gallbladder polyps. Methods According to 1019 cases of gallbladder polyps treated in the past 8 years and 66 cases of primary gallbladder carcinoma treated in the same period. Results Non-neoplastic polyps accounted for 97% of patients admitted, and neoplastic polyps accounted for 3%. Gallbladder polyps account for 23% of gallbladder adenomatous polyps. Conclusion Polyp diameter greater than 1cm, single hair, broad base, hemispherical, garden like or papillary, gallbladder polyps with hyperechoic appearance under B-mode should be considered as tumorous polyps, and should be treated as soon as possible, and asymptomatic Non-neoplastic polyps can be tracked without having to rush to surgery.