A sewage treatment device capable of controlling product crystallization granularity, comprising a fluidized bed body, a reflux device and a chemical feeding device, wherein the fluidized bed body is sequentially provided with a sedimentation zone, a transition zone and a fluidization zone from top to bottom, the reflux device is connected to the fluidized bed body through a reflux pipe, the reflux pipe extends into the fluidized bed body from the sedimentation zone, and the granularity of a crystal product can be controlled by changing the height of a reflux inlet at the bottom end of the reflux pipe in the fluidized bed body.