Objective To analyze the features of Doppler color sonography in the diagnosis of branchial cleft cysts and to pro -vide evidence for clinical and differential diagnoses .Methods Retrospective analysis was made on Doppler color sonography images of 10 cases of branchial cleft cysts confirmed by surgery and pathology , then, they were compared with the surgical/pathological results ob-tained.Results In the 10 cases of branchial cleft cysts diagnosed by Doppler color sonography , 9 cases were cystic masses and 1 case was uneven hypoecho solid nodule , with a coincidence rate of 70%between Doppler color sonography diagnosis and surgical /pathologi-cal results obtained .Conclusion In the diagnosis of branchial cleft cysts , Doppler color sonography was an accurate and reliable meth-od, which could tell the relationship between echoes and surrounding tissues .It was an important accessory method for clinical and dif-ferential diagnoses , and surgical excision as well .Besides, it could offer an important indication on the location of branchial fistula , therefore it could provide good evidence for accurate surgical performance .