What you need to do is override your style. As I can't really visualise what you're trying to achieve with this, I'll give you an example where only the selected item has a rounded border, and the background is set to green. You should really have a play around with something like this:
<Window x:Class="RoundedComboBoxItem.MainWindow"
xmlns="http://schemas.microsoft.com/winfx/2006/xaml/presentation"
xmlns:x="http://schemas.microsoft.com/winfx/2006/xaml"
xmlns:d="http://schemas.microsoft.com/expression/blend/2008"
xmlns:mc="http://schemas.openxmlformats.org/markup-compatibility/2006"
xmlns:local="clr-namespace:RoundedComboBoxItem"
mc:Ignorable="d"
Title="MainWindow" Height="450" Width="800"
xmlns:theme="clr-namespace:Microsoft.Windows.Themes;assembly=PresentationFramework.Aero2">
<Window.Resources>
<Style
TargetType="{x:Type ComboBoxItem}">
<Setter Property="SnapsToDevicePixels"
Value="true" />
<Setter Property="OverridesDefaultStyle"
Value="true" />
<Setter Property="Foreground" Value="Red" />
<Setter Property="Template">
<Setter.Value>
<ControlTemplate TargetType="{x:Type ComboBoxItem}">
<Border x:Name="Border"
Padding="2"
SnapsToDevicePixels="true"
Background="Transparent"
CornerRadius="8"
>
<VisualStateManager.VisualStateGroups>
<VisualStateGroup x:Name="SelectionStates">
<VisualState x:Name="Unselected" />
<VisualState x:Name="Selected">
<Storyboard>
<ColorAnimationUsingKeyFrames Storyboard.TargetName="Border"
Storyboard.TargetProperty="(Panel.Background).
(SolidColorBrush.Color)">
<EasingColorKeyFrame KeyTime="0"
Value="Green" />
</ColorAnimationUsingKeyFrames>
</Storyboard>
</VisualState>
</VisualStateGroup>
</VisualStateManager.VisualStateGroups>
<ContentPresenter />
</Border>
</ControlTemplate>
</Setter.Value>
</Setter>
</Style>
</Window.Resources>
<Grid>
<ComboBox HorizontalAlignment="Left" Margin="154,133,0,0" VerticalAlignment="Top" Width="372">
<ComboBoxItem Content="Item No. 23" />
<ComboBoxItem Content="Item No. 24"/>
<ComboBoxItem Content="Item No. 25">
</ComboBoxItem>
</ComboBox>
</Grid>
</Window>