１　资料与方法本文收集１９８５年６月～１９９８年１１月，急腹痛时经超声检查发现声像图酷似胆囊癌样改变的胆囊疾病４８例患者，并行手术及病理证实。男２７例，女２１例，年龄１６～８３岁，平均４６５岁。患者均有右上腹疼痛，部分放射至右肩背部。腹痛就诊的最短时间 1 Materials and Methods This article collected from June 1985 to November 1998, acute abdominal pain when ultrasonography found similar to the gallbladder-like gallbladder disease in 48 cases of patients with gallbladder disease, concurrent surgical and pathological confirmed. There were 27 males and 21 females, aged from 16 to 83 years, with an average of 465 years. All patients had right upper quadrant pain and partial radiation to the right shoulder. Abdominal pain for the shortest time