The invention discloses an oily sludge treatment process and a device. The oily sludge treatment process includes the steps of watering and stirring for dilution, ultrasonic wave demulsification, solid-liquid separation and oil-water separation. The device comprises an oily sludge treatment system, an automatic control system and a power supply device, wherein the oily sludge treatment system comprises a stirrer, an ultrasonic wave demulsification device, a centrifugal machine, a ultra-filtration system, an oily sludge storage tank, a sludge tank, a centrifugation liquid storage tank, a concentration tank and a filtrate tank, the stirrer is used for adding water into oily sludge for diluting the oily sludge, the ultrasonic wave demulsification device is used for demulsifying the oily sludge, the centrifugal machine is used for performing solid-liquid separation to the oily sludge, the ultra-filtration system is used for performing oil-water separation to the oily sludge, the oily sludge storage tank is used for storing the oily sludge, the sludge tank is used for storing the sludge, the centrifugation liquid storage tank is used for storing oily sewage, the concentration tank is used for storing oil, and the filtrate tank is used for storing water. According to the oily sludge treatment process and the device, the design is novel and reasonable, achievement costs are low, the treatment speeds are fast, the separation of the oil, the sludge and the water is thorough, the resource utilization of the oily sludge is achieved, and environmental pollution and resource waste are reduced.