目的：探讨复发性星形细胞瘤患者再手术效果。方法：本组星形细胞瘤（Ⅲ～Ⅳ级）再手术治疗３１例，与第一次手术间隔期为２～１５０周。再手术前Ｋａｒｍｏｆｓｋｙ分级（ＫＲ）为３０～９０，７例接受３次手术。结果：再手术后存活期为１～１８２周，２５例ＫＲ术后１个月较术前明显改善，术后肿瘤全切除者术后生存期较相应组明显延长。结论：再手术治疗复发性星形细胞瘤是可行的，术后ＫＲ≥６０，手术间隔＞６个月及术中肿瘤全切除者，可获得较好疗效 Objective: To investigate the reoperation effect of recurrent astrocytomas. METHODS: Astrocytoma (grades III-IV) were treated with reoperation in 31 patients. The interval between the first surgery and the first operation was 2 to 150 weeks. Karmofsky grading (KR) was 30 to 90 before reoperation, and 7 patients received 3 surgeries. RESULTS: The survival period after reoperation was 1 to 182 weeks. 25 cases of KR were significantly improved 1 month after surgery. The postoperative survival rate of total tumor resection was significantly longer than that of the corresponding group. Conclusion: Reoperation for recurrent astrocytoma is feasible. After operation, KR ≥ 60, surgery interval >6 months, and total resection of intraoperative tumors, better results can be obtained.