报告鼻咽纤维血管瘤摘除40例。根据瘤体的大小、范围与侵犯部位以及颅内是否受累,分别采取鼻侧切开,硬腭径路、齿龈上切开,无切口及颅内外联合径路和口鼻联合径路高频电圈套器摘除肿瘤,分析了各种径路的适应证及优点,认为摘除肿瘤应紧贴骨面剥离,术中同时结扎双侧颈外动脉最佳,若行血管栓塞,栓塞后1周内择期手术为宜。 Nasopharyngeal fibrovascular tumor report 40 cases. According to the tumor size, scope and invasion of the site and whether intracranial involvement, respectively, nasal incision, palatal pathology, supragingotomy, non-incision and intracranial combined with pathology and nasal pathology combined with high-frequency electro-mechanical devices to remove the tumor , Analyzed the indications and advantages of various pathways, that removal of tumor should be close to the bone surface stripping, intraoperative ligation of both sides of the external carotid artery best, if the line of embolization, elective surgery within 1 week after embolization is appropriate.