The invention relates to the field of biomedical materials, in particular to a preparation with ultrasound contrast and photothermal therapy properties, a preparation method and application thereof. Firstly, hollow SiO2 spheres are prepared by the template method, and then surface seeding and chemical reduction methods are used to coat gold nanoshells on the surface, and finally, moisture is removed by vacuum freeze-drying, and gas is filled to obtain an integrated photothermal diagnosis and treatment guided by ultrasound images. chemicals. The hollow SiO2 sphere containing gas has a good response to ultrasound for clinical diagnosis, and the gold nanoshell coated with the outer layer can convert the light energy of the absorbed near-infrared laser into heat energy, which is used to kill malignant tumor cells. The invention combines ultrasonic diagnosis and photothermal therapy preparations into one, locks the lesion through ultrasound contrast-enhanced examination, and then applies laser irradiation to carry out photothermal therapy under the guidance of ultrasonic images, which reduces the pain of patients and improves the treatment efficiency. efficiency.