The disclosure provides a method for preparing a hollow fiber membrane by melt spinning-stretching and selective swelling, including: preparing a nascent hollow fiber by melt spinning in an inert gas protective atmosphere by using an amphiphilic block copolymer as a film forming material, and stretching the nascent hollow fiber in the cooling process, a stretch rate being controlled at 200-540 mm/min, and a stretch ratio being controlled at 150-600%; immersing the obtained hollow fiber in a swelling solvent, and treating the hollow fiber in a water bath at 65° C. for 1 h; and then transferring the hollow fiber into a long-chain alkane solvent, treating the hollow fiber at the same temperature for 1-12 h, and after the completion of the treatment, immediately taking out the hollow fiber and drying the hollow fiber to obtain the hollow fiber membrane with a bicontinuous porous structure. By combining the melt spinning-stretching and the selective swelling, the method of the disclosure can synchronously and continuously improve the permeability and selectivity of the hollow fiber membrane. The treatment in the long-chain alkane solvent can make the polar chain excessively enriched on the surface of the membrane migrate inward, thereby improving the performance of the hollow fiber membrane.