Understanding the evolution of river morphology is crucial for comprehending changes in water resources and implementing development projects along rivers. This study proposes an integrated approach utilizing remote sensing image data combined with deep learning and visual interpretation algorithms to analyze continuous-type changes in river morphology. This research focuses on the lower reaches of the Minjiang River in China and comprehensively analyzes the river’s morphological evolution from 1986 to 2021. The results show that the proposed method of river water identification in this study demonstrates high accuracy and effectiveness, with an F1 score and Kappa coefficient greater than 0.96 and 0.91, respectively. The morphology of the river channel remains stable in the upstream and estuarine sections of the study region while undergoing substantial alterations in the middle section. Additionally, this study also identifies several factors that significantly impact the evolution of river morphology, including reservoir construction, river sediment mining, river training measures, geological conditions, and large flood events. The findings of this study can provide some insights into the management and conservation of water resources.