The invention relates to the technical field of wound surface repairing, in particular to a self-adaptive wound surface monitoring and repairing system which comprises an ultrasonic module, a dressing body, a control module, a cloud platform and an intelligent terminal, the ultrasonic module is used for wound surface detection and wound surface sterilization treatment, and a detection module is installed in the dressing body; the detection module comprises a humidity unit, a temperature unit, a microorganism unit and an oxygen content unit, output information of the detection module is transmitted to the control module, and the control module comprises an information collection module, a storage module, a matching module, a processing module, an arrangement module and an information transmission module. The invention aims to provide the self-adaptive wound monitoring and repairing system which has the advantages of observing the wound condition after dressing and self-upgrading and perfecting.