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目的研究影响壁性成釉细胞瘤术后复发因素及刮治术后复发病例观察。方法对44例壁性成釉细胞瘤患者术后观察1年～25年4个月，平均5年7个月。结果①刮治术后复发(8/35)多于根治术后复发(1/9)；②肿瘤生长呈壁内型(4/7)和混合型(3/4)刮治术后复发明显多于腔内型术后复发(0/15)；③蜂房型(3/3)刮治术后复发明显多于单房型(1/20)；④刮治术后2年内肿瘤易出现复发(7次/5例)；⑤刮治术后复发者再次刮治仍有再复发倾向。结论①X线表现呈蜂房型者应做根治手术；②刮治术后病理呈壁内型或混合型生长方式者应重视定期复查；③刮治术后病例应常规定期复查5年。“,”Objective To investigate the determinant of recurrence in mural ameloblastoma. Methods Forty-four cases of mural ameloblastoma were followed up postoperatively for 1 year to 25 years and 4 months （mean of 5.7 years）. Results ① The recurrence is more likely to recur in curettage group (8/35) than in radical surgery group (1/9); ②The recurrence is more in intramural (4/7) and complex (3/4) group more than in intracavity group (0/15) after curettage treatment; ③Those with honeycomb appearance (3/3) recurred more than those with unilocular appearance (1/20); ④It recurred mostly within 2 years postoperatively (7 recurrences in 5 cases); ⑤Recurrent cases were susceptible to repeated recurrence after recurettage. Conclusions ①The lesion with honeycomb appearance should be treated with radical surgery; ② The follow-up should be emphasized for those with intramural or complex features; ③ The curettage cases should be followed routinely for 5 years postoperatively.