An optical fiber puncture needle tubing comprises an optical fiber having a body portion and a head portion, one end of the tapered head is a tapered tail end having a tapered diameter; the periphery of the body portion is wrapped with a body tube, the cylindrical head is wrapped with a metal casing, and the periphery of the tapered head is wrapped with a polymer jacket. The polymer jacket is provided with an inverted-tooth structure or inverted kerf structure. Through the synergistic effect with various components, the puncture needle tubing can be transmitted fast in the long blood vessels, and can achieve higher light emission efficiency and therapeutic effect. The puncture needle tubing can be applied in fields of the treatment of photodynamic tumors, eliminating vascular obstructions or performing vascular puncture.