目的探讨儿童腺样体肥大切除术后复发的原因。方法分析我科自2005年以来在我科因腺样体术后复发再次手术的患者15例,均行术中鼻内镜检查,并分析其复发原因。结果15例患者中12例有腺体残留,4例单侧肥大扁桃体切除术,3例因鼻窦炎导致复发。结论术中腺体残留、切除单侧肥大扁桃体、鼻-鼻窦炎局部刺激是最常见的腺样体术后复发原因。 Objective To investigate the causes of relapse after adenoid hypertrophy in children. Methods Fifteen patients who underwent re-operation after adenoid surgery in our department since 2005 were analyzed by intraoperative nasal endoscopy and the causes of recurrence were analyzed. Results Of the 15 patients, 12 had glandular remnant, 4 had unilateral tonsillectomy, and 3 had recurrent sinusitis. Conclusion Intraoperative gland residues, excision of unilateral hypertrophy of tonsils, rhinosinusitis local stimulation is the most common cause of adenoid recurrence.