The invention relates to a matching method for three-dimensional coronary angiography reconstruction, which belongs to the crossing field of digital image processing and medical imaging, and aims to meet the special requirements on the auxiliary detection and the surgical navigation of angiocardiopathy in clinical medicine. The method comprises two steps, i.e. model guidance contrastographic picture vessel segment matching and contrastographic picture puncta vasculosa matching. The matching method uses a multi-scale vascular tree model so as to better guide vascular matching, simultaneously can well solve the problem of individual difference, and improves the matching precision of vessel segments and puncta vasculosa through the method of iterative matching and largest declination of searching potential energy. The matching method for three-dimensional coronary angiography reconstruction can obtain very good angiography matching results, thereby solving the difficult problems in the automatic three-dimensional reconstruction by the multi-view angiography map.