作者在本文中回顾了1982～1985年间施行的411例胆囊切除术的病人,其中40例有胆囊息肉状病变,对其临床病理学所见、良性与恶性病变的特征进行了比较,并讨论了手术适应证.40例病人中良性病变32例,女性18例,男性14例(1.3∶1),平均年龄51岁(28～74岁).恶性病变8例,女性4例,男性4例,平均年龄64岁,发病年龄明显大于良性病变者.多数病人主诉右上腹和上腹痛、发热或消化不良.无症状者9例.良性与恶性病变者的临床症状无明显差别,无结石性胆囊病15例,经超声检查正确诊断为良性息肉状病变,而胆结石者17例中未发现息肉状病变者14例,术前正确诊 In this article, the authors reviewed 411 cases of cholecystectomy performed between 1982 and 1985. Of these, 40 cases had polypoid lesions of the gallbladder. Their clinical pathological findings, benign and malignant lesions were compared and discussed. Indications for surgery: Of the 40 patients, 32 were benign lesions, 18 were females, and 14 were male (1.3:1). The average age was 51 years (28 to 74 years). There were 8 malignant lesions, 4 females, and 4 males. The average age was 64 years old, and the age of onset was significantly larger than that of benign lesions. Most patients complained of right upper abdominal and upper abdominal pain, fever or dyspepsia. Asymptomatic patients were 9 cases. There was no significant difference in the clinical symptoms of benign and malignant lesions, no gallstone disease 15 cases were correctly diagnosed as benign polypoid lesions by ultrasound examination, and 14 cases of gallstones did not find polypoid lesions in 14 cases.