The present invention provides a uterus OCT catheter, comprising: a catheter body; the catheter body comprises an outer sleeve, an OCT imaging catheter and a Luer connector; the outer sleeve is provided with an exit window; the reflecting surface of the reflecting prism in the OCT imaging catheter faces the exit window. The present invention further provides a uterus OCT equipment with pull-back function, comprising a pull-back device and the catheter body, the pull-back device comprises a first housing, a driving connector, a fixing sleeve and a catheter fixing tube. The invention adopts the way that the outer sleeve wraps the OCT imaging catheter to increase the overall strength and diameter; a pull-back device is adopted, the pull-back process is stable and in uniform speed, and can effectively prevent complications during human operation and damage to human tissue during pull-back process.