The invention relates to the technical field of medical equipment, in particular to an ultrasonic examination device. The ultrasonic examination device comprises a mounting shell, an ultrasonic transducer and a puncture frame. The ultrasonic transducer is rotatably arranged in an inner cavity of the mounting shell, and the ultrasonic transducer and the mounting shell are arranged at an interval; and the puncture frame is arranged on the outer side of the mounting shell, a puncture guide hole allowing a puncture needle to penetrate through is formed in the puncture frame, and the puncture frameand the ultrasonic transducer can rotate synchronously, so that the axis of the puncture guide hole and the real-time scanning plane of the ultrasonic transducer are coplanar. According to the ultrasonic examination device, the puncture frame and the ultrasonic transducer rotate synchronously, so that it is guaranteed that a puncture path is always located in the real-time scanning plane of the ultrasonic transducer, accurate positioning is provided for puncture operation, the puncture efficiency and accuracy are improved, the operation time is shortened, the operation difficulty is lowered,and accurate, low-trauma, simple and rapid operation treatment is achieved.