An improved encephalic puncture guiding method comprises the following steps of 1, puncture planning guidance, wherein 1.1, an encephalic scanning
image sequence is loaded, a three-dimensional encephalic model is built, and meanwhile measurement angle correction data are loaded; 1.2, reference points are set, perpendicular reference planes are built in the three-dimensional model; 1.3, a target spot and an
entry point are set, the length of a puncture path composed of the target spot and the
entry point and the included angle between the puncture path and the reference planes are worked out; the final plan
puncturing angle and depth are obtained by correcting the angle correction data; 2, puncture execution, wherein in the step 1.3, when an encephalic coordination
system and a ground coordinate
system are not consistent, the encephalic coordination
system and the ground coordination system are registered by adopting the
point registration method based on output data of a
gyroscope, and the included angle between the reference planes and the puncture path obtained after registration is automatically worked out. The invention provides an improved encephalic puncture guiding device. The improved encephalic puncture guiding method and device are easy to implement and convenient to operate and facilitate clinical application.