A preparation method for a medical porous metal implant material comprising mixing tantalum powder, a pore-forming agent, and a forming agent into a powder mixture, then granulating, injecting into a mold for forming, demolding, degreasing, sintering, and performing a heating process to produce the medical porous metal implant material for dental bone tissue replacement; the pore-forming agent is one or multiple of sodium bicarbonate, urea, sodium chloride, methyl cellulose, and ethyl cellulose, and the forming agent is one or multiple of polyvinyl alcohol, stearic acid, zinc stearate, paraffin, and synthetic rubber; the degreasing process comprises: gradually increasing the temperature to 400 to 800°C at a speed of 0.5 to 3°C / min, introducing argon gas to form a protective atmosphere, and maintaining the temperature for 60 to 240 minutes. Measurements show that the porous tantalum material prepared using the method has an impurity concentration lower than 0.2%. The density reaches 11.67 to 13.34 g / cm3, the porosity reaches 20% to 30%, and the pore diameter reaches 12 to 25 mum. The elastic modulus reaches 4.5 to 6.0 Gpa, the elongation rate reaches 12.0% to 13.8%, the bending strength reaches 120 to 150 Mpa, and the compressive strength reaches 90 to 110 Mpa.