目的　探讨鼻咽纤维血管瘤术前栓塞的价值。方法　回顾性分析 13例病理证实的鼻咽纤维血管瘤患者 ,采用 4 .1F或 5FHead Hunter导管行双侧颈动脉造影 ,了解瘤体供血情况后 ,依据供血动脉的粗细 ,选择不同大小的钢圈行纤维血管瘤供血动脉术前栓塞治疗 ,术中以出血量的多少来判断瘤体栓塞效果。结果　钢圈术前栓塞后 ,13例患者均无明显并发症 ,栓塞距手术时间 1～ 4d ,平均 2d行外科手术治疗 ,术中平均出血量为 (5 84 .6± 379.4 )ml(2 5 0～ 15 0 0ml) ,瘤体均完整切除。结论　鼻咽纤维血管瘤术前钢圈栓塞 ,能有效降低术中出血量 ,提高全切率 ,减少并发症。 Objective To investigate the value of preoperative embolization of nasopharyngeal hemangioma. Methods A retrospective analysis of 13 cases of pathologically confirmed nasopharyngeal fibroadenoma patients with 4.1 F or 5FHead Hunter catheter bilateral carotid artery angiography to understand the tumor blood supply, according to the thickness of the artery, choose different sizes of steel ring Line fibrovascular tumor artery preoperative embolization, the amount of bleeding during operation to determine the effect of tumor embolization. Results The preoperative embolization of the steel ring showed no significant complications in all the 13 patients. The embolization time was 1 ~ 4 days and the mean operation time was 2 days. The mean intraoperative blood loss was (5 84.6 ± 379.4) ml 0 ~ 15 0 0ml), the tumor were completely resected. Conclusions The preoperative steel ring embolization of nasopharyngeal fibroadenoma can effectively reduce the amount of intraoperative blood loss, increase the rate of complete resection and reduce the complications.