Abstract: ［Abstract］ Objective To explore the diagnosis and treatment of pancreatic pseudocyst in children. Methods The clinical datum of 36 patients with pancreatic pseudocyst in recent five years were retrospectively analyzed, reviewing each case for age, sex, presenting symptoms, type of management and clinical outcome and so on. Results Of 36 cases, there were 8 males and 4 females, aged from 2 years 5 months old to 12 years and 9 months old with mean age of 8 years and 2 months old. Fifteen patients underwent with conservative treatment, among them 6 cases underwent with Roux-en-Y type cystojejunostomy and one with was choledochocyst and pancreatic pseudocyst underwent with choledochocystectomy and Roux?en?Y type hepaticojejunostomy. Fourteen cases underwent with Roux?en? Y type cystojejunostomy directly；6 cases underwent with cystoperitoneal space drainage；one case was multiple pancreatic pseudocyst underwent with cyst excision and cystoperitoneal space drainage. All cases were cured. Follow-up ranged from 6 months to 2 years, there was not cyst recurrence. Conclusion The treatment of pancreatic pseudocyst is diversified and should be individualized． The choice for treatment of the disease should be based on the course of disease, the size of cyst, the position of cyst, the relationship with the adjacent organs.

Key words: diagnosis, pancreatic pseudocyst, therapy, child

摘要： ［摘要］目的 探讨小儿胰腺假性囊肿的临床特点及诊疗方法。方法 回顾性分析本院近5年来收治的36例胰腺假性囊肿患儿的临床资料，包括年龄、性别、临床症状、治疗方式、治疗效果及有无并发症及复发等。结果 男24例，女12例，年龄2岁5个月至12岁9个月，平均8岁2个月。保守治疗15例，其中1例术中发现为胆总管囊肿合并胰腺假性囊肿，行胆总管囊肿切除+空肠肝总管Roux?en?Y吻合术，胰腺假性囊肿保守治疗治愈，6例保守治疗效果不明显择期行囊肿空肠Roux?en?Y吻合术；直接行囊肿空肠Roux?en?Y吻合术14例；囊肿外引流术6例；多发性囊肿1例行部分囊肿摘除+囊肿外引流术1例，所有病例均治愈，术后随访半年至两年未见复发。结论 该病的治疗方法较多，应根据病程长短、囊肿大小、部位、与临近器官的关系及有无并发症采取个体化治疗。

关键词: 治疗, 胰腺假性囊肿, 儿童, 诊断