The invention discloses a dual-imaging-guided photothermal therapy multifunctional nano-hybrid and a preparation method. The preparation steps are: (1) preparing bismuth selenide nanoplate powder by solvent method: hyaluronic acid doped polypyrrole coated bismuth selenide Nanoplate: dissolve bismuth selenide nanoplate powder and polyvinylpyrrolidone with an average molecular weight of k13-18 in water, add pyrrole, stir, transfer to ice bath, add ferric chloride aqueous solution drop by drop, add hyaluronic acid Acid aqueous solution, reaction; dialyzed polymer solution, centrifuged, and dried precipitate, that is. The hybrid compound of the present invention has good physical stability, and exhibits good water solubility, biocompatibility, strong near-infrared absorption and good photothermal stability, and can be used for photothermal therapy guided by CT and PA imaging; Good in vivo targeting; simple preparation process, mild reaction conditions, strong reaction controllability, low toxicity, easy scale-up, readily available raw materials, and cheap prices.