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目的 探讨真、假性胰腺囊肿临床特点及治疗。方法 对１６ 例小儿胰腺囊肿的临床特点、影像学检查及治疗进行分析。结果 真假性胰腺囊肿均有腹痛或不适，可触及包块１５ 例，穿孔性腹膜炎１ 例。 Ｂ 超均见囊性肿物，真性胰腺囊肿小，呈不规则哑铃状。１６ 例均行手术治疗，除１ 例先天性胰腺囊肿行囊肿摘除术，置管引流外，余均行横结肠肠系膜切口囊肿低位空肠 Ｒｏｕｘ － ｅｎ － Ｙ 吻合术。术后并发胰瘘１ 例。结论 真性囊肿一旦确诊，应行囊肿摘除术；假性胰腺囊肿可择期手术，如有穿孔并发腹膜炎应立即手术，手术提倡横结肠肠系膜低位切口行囊肠吻合术。
Objective To investigate the clinical features and treatment of true and false pancreatic cysts. Methods The clinical features, imaging examination and treatment of 16 cases of pediatric pancreatic cysts were analyzed. Results Both true and false pancreatic cysts had abdominal pain or discomfort, palpable mass in 15 cases and perforation peritonitis in 1 case. B-see cystic mass, true small pancreatic cysts, was irregular dumbbell-shaped. All the 16 cases underwent surgical treatment. Except for 1 case of congenital pancreatic cyst undergoing cyst excision and catheter drainage, all the patients underwent retroperitoneal Roux - en - Y anastomosis of the transverse mesenteric incision cysts. Postoperative pancreatic fistula in 1 case. Conclusions Once a true cyst is diagnosed, cyst excision should be performed. Pseudoepithelial cyst can be operated on electively. Perforation followed by peritonitis should be performed immediately. Surgical resection of the transverse colonic mesenteric incision is recommended for enteral and intestinal anastomosis.