Strong echogenicity in the gallbladder is an abnormal manifestation of gallbladder ultrasound, which may be stones, polyps, etc. Gallbladder stones and gallbladder polyps are very common in clinical practice, and it is also necessary to determine how to treat them according to the number, size, and whether clinical symptoms appear, as follows: 1. Gallbladder stones: manifesting as strong echogenicity in the gallbladder, posteriorly accompanied by acoustic shadow, which can move with position changes, gallbladder stones if the number is small, small in diameter, and with clinical symptoms can also be observed. 2, 2.Gallbladder polyps: they may appear as strong echogenicity in the gallbladder and do not move with position changes, if the diameter of gallbladder polyps does not exceed 1 cm, they can be observed by regular ultrasound follow-up, and attention should be paid to regular diet, low-fat diet and breakfast in daily life. 3.Other: the diameter of gallbladder polyps exceeds 1 cm, the range of gallbladder stones is larger, combined with recurrent episodes of If the gallbladder polyp is more than 1cm in diameter, the gallbladder stones are larger, and there are repeated attacks of cholecystitis, then surgery should be considered, and laparoscopic cholecystectomy is preferred.