鼻咽血管纤维瘤是一种富含增生的纤维和血管的良性肿瘤,常发生于10～25岁青年男性,占头颈部肿瘤的0.05%～0.5%[1]。肿瘤扩张生长能力强,瘤体内血管丰富,容易出血,一般瘤体最大直径不超过5 cm,手术治疗为主,但出血凶猛,不主张活检。1临床资料患者,男,15岁,因右侧鼻塞渐进加重伴间断性鼻出血1年余于2011年5月4日入院。既往有室间隔缺损修补手术史 Nasopharyngeal angiofibroma is a benign tumor rich in hyperplasia of fibers and blood vessels, often occurs in young men aged 10 to 25, accounting for 0.05% to 0.5% of head and neck cancer [1]. Tumor expansion and growth ability, rich in blood vessels, bleeding easily, the general maximum diameter of not more than 5 cm, surgical treatment, but the fierce bleeding, do not advocate biopsy. 1 Clinical data Patients, male, 15 years old, due to the gradual increase of the right nasal congestion with intermittent epistaxis more than 1 year in May 4, 2011 admitted. Previous history of repair of ventricular septal defect