目的探讨鼻咽部纤维血管瘤切除术前介入栓塞的应用价值。方法 17例病理证实的鼻咽部纤维血管瘤患者,其中男性15例,年龄14～22岁;女性2例,年龄13～19岁。采用Seldinger’s法,选取5F Head-Hunter导管行双侧颈内、外动脉造影,了解患者颈内、外动脉有、无异常吻合及肿瘤供血情况后,评估栓塞风险,用明胶海绵栓塞鼻咽部纤维血管瘤的供血动脉。结果接受介入栓塞术患者,1～3d内行肿瘤切除,术中出血量显著减少(<250mL),手术视野清晰,手术时间缩短,有利于肿瘤完全切除。结论超选择性颈外动脉介入栓塞术在鼻咽部纤维血管瘤切除术前的应用,能显著降低肿瘤切除术中的出血量,提高全切率,减少并发症,是临床上行之有效的方法。 Objective To investigate the value of interventional embolization before nasopharyngeal fibrosarcoma resection. Methods 17 cases of pathologically confirmed nasopharyngeal fibrovascular tumors, including 15 males, aged 14 to 22 years; 2 females, aged 13 to 19 years. Seldinger’s method was used to select the 5F Head-Hunter catheter for bilateral internal carotid and external arterial angiography to understand the internal and external carotid artery in patients with no abnormal anastomosis and tumor blood supply, evaluate the risk of embolism, with gelatin sponge embolization nasopharyngeal fibers Hemangiomas feeding artery. Results In patients undergoing interventional embolization, tumor resection was performed within 1 to 3 days, and the amount of bleeding during operation was significantly reduced (<250 mL). The operative field was clear and the operation time was shortened, which was in favor of complete tumor resection. Conclusion The application of superselective external carotid artery embolization in the treatment of nasopharyngeal hemangioma can significantly reduce the amount of bleeding during tumor resection, improve the rate of complete resection and reduce the complications, which is a clinically effective method .