The invention relates to the technical field of puncture positioning, in particular to a transforaminal
endoscopic surgery puncture positioning device which comprises a placement module, the placement module comprises an operation table and a plurality of mounting rails, a plurality of connecting frames are arranged on the mounting rails, a plurality of limiting frames are slidably arranged on the mounting rails, and a plurality of supporting mechanisms are arranged at the bottom of the operation table. The operation table is provided with a limiting mechanism, and a first positioning mechanism is arranged at the bottom of the operation table and comprises a positioning frame and a first
magnet piece. According to the device, a guide
pipe is fixedly connected through a first limiting ball, the position of a T-shaped plate on an operation table can be adjusted according to the puncture position and angle, under the action of a first
magnet piece, the T-shaped plate can be prevented from moving freely on the operation table as much as possible, and a puncture tool can penetrate through the first limiting ball and the interior of the guide
pipe; and the T-shaped plate and the
guide tube can play a certain auxiliary fixing role on the puncture tool, so that the operation burden of a doctor can be reduced, the fatigue of the hand can be reduced, and the puncture operation can be smoothly carried out.