The invention relates to the technical field of medical image processing, and aims to provide a dynamic ultrasonic breast nodule real-time segmentation and recognition method based on deep learning. The method comprises the following steps: collecting ultrasonic mammary gland images and videos with nodules and case data with operative pathology results, constructing a data set, constructing a static image nodule segmentation network, and training the static image nodule segmentation model on an original image; predicting an intermediate frame nodule probability by using an LSTM layer, constructing a video dynamic segmentation network, and training a dynamic segmentation model; constructing a benign and malignant identification network structure by using a basic network, and training a benign and malignant identification model; and outputting nodule position information in real time, using the benign and malignant recognition model for recognizing benign and malignant nodules of each frame, and outputting the number of output nodules and the comprehensive benign and malignant probability after examination is finished. Information incompleteness of a single image can be avoided, error detection is reduced, missing small nodules are reduced, and the nodule benign and malignant identification accuracy is improved.