The invention discloses an extraction and suction integrated percutaneous endoscope puncture biopsy instrument which structurally comprises an extraction and suction device, a limit component, an outer tube, an outer tube handle, a syringe, a syringe handle and an inner core wire, the syringe is arranged into an inner cavity of the outer tube, the syringe comprises a needle tip section and a needle body section, the needle tip section penetrates the far end of the outer pipe, the needle body section penetrates the near end of the outer pipe and is connected with the syringe handle, the near end of the syringe handle is connected with the extraction and suction device, a limit component is rotatably connected with the near end of the outer tube handle, and a slider is arranged on the syringe handle and slidably connected with the limit component. The biopsy instrument can meet requirements of any ultrasound endoscope mediation of digestive tracts and tracheae and further can be used fora non-ultrasonic through the scope, deep puncture biopsy, liquid extraction and the like under direct vision are achieved, puncture operation is simplified to a great extent, and operation safety isimproved.