我院收治1例鼻咽纤维血管瘤侵犯翼腭窝、蝶窦、海绵窦并引起海绵窦区脑脊液漏，采用明胶海绵加肌块填塞修补一次成功，现报道如下。患者男性，18岁。右鼻腔间歇性出血及鼻塞3月余，诊断为鼻咽纤维血管瘤。入院后行CT检查提示；右鼻咽腔及烟侧壁见不规则软组织肿块，密度不均匀 In our hospital, 1 case of nasopharyngeal angiofibroma invaded the pterygopalatine fossa, sphenoid sinus, and cavernous sinus and caused cerebrospinal fluid leakage in the cavernous sinus, and was successfully repaired with gelatin sponge and muscle block. This is reported as follows. The patient is male, 18 years old. The right nasal cavity intermittent bleeding and nasal congestion more than 3 months, the diagnosis of nasopharyngeal fiber hemangiomas. CT examinations were performed after admission; abnormal soft tissue masses were seen in the right nasopharynx and the side wall of the smoke. The density was not uniform.