During the process of gas production in high-pressure, high-temperature (HPHT) gas wells, the choke valve, as the most vital component of the surface control equipment, plays a significant role in regulating the output and reducing the fluid pressure to ensure the safety of surface gathering and transportation equipment. High-pressure, high-velocity fluid flow and solid-phase particles cause deterioration of the choke valve. With the enhancement of intelligent and digital oilfields, conventional choke valves have been progressively replaced by electric choke valves. Due to the complex structure of the throttle valve, the flow path and the velocity state of the fluid in the throttle valve, and the distribution law of the erosion fraction are quite distinctive from those in the ordinary throttle valve, meriting further research. In this paper, a simulation of computational fluid dynamics (CFD) was conducted to determine the effects of the pressure distribution, fluid state, divergent particle sizes, and sand volume on the erosion rate of the choke valve. Under various valve openings, the fluid state and the location of high-risk points can be ascertained. The large particle size (diameter greater than 6 mm) of sand and gravel is convenient for causing concentrated erosion in the position of the valve hole, which induces the channel diameter to expand. Fine silt sand (diameter from 0.1 mm to 1 mm) gives rise to relatively uniform abrasion to the choke’s current-facing surface. This study can optimize the layout of the choke valve and reduce the cost and number of switching wells, thereby decreasing the frequency of maintenance and the pressure fluctuation’s effect on the formation.