Abstract: Ultrasonic elastography (UE) is a non-invasive imaging technology for detecting tissue stiffness to obtain more information about tissue edema, necrosis, and fibrosis. Currently, ultrasonic elastography techniques applied in clinics mainly include the following categories:strain elastography (SE),transient elastography (TE), acoustic radiation force impulse elastography (ARFI), andshear wave elastography (SWE). Inflammatory bowel disease (IBD) is a chronic, recurrent inflammatory disease of the digestive tract, including Crohn's disease and ulcerative colitis. Evaluating its activity and complications is an important part of guiding treatment and predicting prognosis. Compared with endoscopy, magnetic resonance imaging (MRI), and CT imaging, ultrasonic elastography has the advantages of being non-invasive, non-radiation, and easily tolerated by patients. This article reviews the current application progress of UE in inflammatory bowel disease, aiming to provide a reference for clinical diagnosis, monitoring, and efficacy evaluation of inflammatory bowel disease.