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SUMMARY OBJECTIVE: This study aimed to explore the risk factors of bronchopulmonary dysplasia in premature infants and the clinical application value of lung ultrasound in the diagnosis of bronchopulmonary dysplasia. METHODS: A total of 80 premature infants with a gestational age of <32 weeks or a birth weight of <1,500 g who were treated in our hospital from January to August 2021 were randomly divided into a bronchopulmonary dysplasia group (n=12) and a non-bronchopulmonary dysplasia group (n=62). The clinical data, lung ultrasound, and X-ray image characteristics of the two groups were compared. RESULTS: Among the 74 preterm infants, 12 preterm infants were diagnosed with bronchopulmonary dysplasia, and 62 preterm infants were determined not to have bronchopulmonary dysplasia. There were significant differences in sex, severe asphyxia, invasive mechanical ventilation, premature membrane ruptures, and intrauterine infection between the two groups (p<0.05). Lung ultrasound showed abnormal pleural lines and alveolar-interstitial syndrome in all 12 patients with bronchopulmonary dysplasia and vesicle inflatable signs in 3 patients. Before clinical diagnosis, the accuracy, sensitivity, specificity, positive predictive value, and negative predictive value of lung ultrasound in the diagnosis of bronchopulmonary dysplasia were 98.65, 100, 98.39, 92.31, and 100%, respectively. The accuracy, sensitivity, specificity, positive predictive value, and negative predictive value of X-rays in the diagnosis of bronchopulmonary dysplasia were 85.14, 75.00, 87.10, 52.94, and 94.74%, respectively. CONCLUSION: The diagnostic efficiency of lung ultrasound for premature bronchopulmonary dysplasia is better than that of X-rays. The application of lung ultrasound can screen patients with bronchopulmonary dysplasia early for timely intervention. OBJECTIVE METHODS 8 32 <3 1500 1 500 <1,50 202 n=12 n12 n (n=12 nonbronchopulmonary non n=62. n62 n=62 . (n=62) data Xray X ray compared RESULTS 7 6 sex asphyxia ventilation ruptures p<0.05. p005 p p<0.05 0 05 (p<0.05) alveolarinterstitial alveolar interstitial accuracy sensitivity specificity 9865 98 65 98.65 100 9839 39 98.39 9231 92 31 92.31 100% respectively Xrays rays 8514 85 14 85.14 7500 75 00 75.00 8710 87 10 87.10 5294 52 94 52.94 9474 94.74% CONCLUSION Xrays. rays. intervention < 150 50 <1,5 20 n=1 n1 (n=1 n6 n=6 (n=62 p00 p<0.0 (p<0.05 986 9 98.6 983 98.3 923 92.3 851 85.1 750 75.0 871 87.1 529 5 52.9 947 94.74 15 <1, 2 n= (n= (n=6 p0 p<0. (p<0.0 98. 92. 85. 75. 87. 52. 94.7 <1 (n p<0 (p<0. 94. p< (p<0 (p< (p