In recent years, with the development of novel ultrasonic techniques, ultrasonography has been widely used as a non-invasive examination method in the diagnosis and treatment of pulmonary tuberculosis. Conventional ultrasound combined with contrast-enhanced ultrasound has great significance in the diagnosis and the long-term observation of treatment of tuberculosis, contrast-enhanced ultrasound combined with interventional ultrasound techniques can improve the success rate of percutaneous lung puncture, and endobronchial ultrasound has definite diagnostic value for pulmonary tuberculosis patients with negative results in sputum smear or sputum culture bacteriological examination. In this paper, we reviewed the progress of conventional ultrasound, contrast-enhanced ultrasound, ultrasound-guided percutaneous lung puncture and endobronchial ultrasound in the diagnosis of pulmonary tuberculosis.