目的　探讨儿童星形细胞瘤的复发与肿瘤的组织学类型、肿瘤部位及手术的关系。方法　对 2 6例小儿复发性星形细胞瘤两次手术的临床资料和病理特点进行对比分析。结果　幕下星形细胞瘤 14例 ,第一次手术时为良性和亚良性星形细胞瘤 ,复发时恶性程度均未增加 ,复发与手术时肿瘤的切除程度有关。幕上星形细胞瘤 12例 ,第一次手术时 ,恶性胶质瘤 2例 ,复发时恶性程度增加 6例 ,复发与肿瘤的病理类型和手术时肿瘤切除程度有关。结论　幕下星形细胞瘤的复发主要决定于手术时肿瘤切除程度 ,幕上的肿瘤的复发与手术有关外 ,还与肿瘤的病理类型有关 Objective To investigate the relationship between the recurrence of astrocytoma and histological type, tumor location and operation in children. Methods The clinical data and pathological features of two operations of 26 children with recurrent astrocytoma were analyzed. Results 14 cases of astrocytoma under the screen, the first operation was benign and benign astrocytoma, the recurrence of malignancy did not increase, the recurrence and surgical resection degree of the tumor. The supratentorial astrocytoma in 12 cases, the first surgery, 2 cases of malignant glioma, recurrence of malignancy increased in 6 cases, the recurrence and tumor pathological type and degree of tumor resection surgery related. Conclusion The recurrence of astrocytomas depends mainly on the extent of tumor resection at the time of surgery, recurrence of the supratentorial tumor associated with the surgery, and the pathological type of the tumor