目的　讨论小儿胰腺假性囊肿的诊断与治疗。方法　分析 15年收治 2 0例胰腺假性囊肿患儿的临床表现、诊断及治疗方法。结果　保守治疗 7例中 ,囊肿消退 2例 ,囊肿体积缩小 5例。手术治疗 13例 ,效果良好。囊肿空肠Roux Y型吻合术 4例 ,囊肿胃吻合术 9例。结论　急性胰腺假性囊肿宜先保守治疗 ,控制炎症 ,部分病例可以自愈。慢性囊肿及保守治疗无效则根据年龄、临床表现、囊肿大小、部位和囊肿内有无感染选择手术方式。 Objective To discuss the diagnosis and treatment of pediatric pancreatic pseudocyst. Methods The clinical manifestations, diagnosis and treatment of 20 children with pancreatic pseudocyst in 15 years were analyzed. Results conservative treatment in 7 cases, 2 cases of cyst subsidence, 5 cases of cyst shrinkage. Surgical treatment of 13 cases, the effect is good. Cystic jejunum Roux Y-type anastomosis in 4 cases, 9 cases of cyst anastomosis. Conclusions Acute pancreatic pseudocysts should be conservatively treated to control inflammation and some cases can be self-healing. Chronic cysts and conservative treatment is ineffective according to age, clinical manifestations, cyst size, site and cyst infection with or without surgery.