The invention relates to an electronic camera shooting type tool presetting device and measurement method. The electronic camera shooting type tool presetting device is characterized in that the device comprises a Y-direction horizontally-moving mechanism, a detection mechanism, an X-direction horizontally-moving mechanism, a Z-direction main shaft mechanism and a drive module; the upper portion of the X-direction horizontally-moving mechanism is fixedly connected with the lower portion of the Y-direction horizontally-moving mechanism; the detection mechanism is connected with the Y-direction horizontally-moving mechanism; the Z-direction main shaft mechanism is arranged below the detection mechanism; the Y-direction horizontally-moving mechanism, the detection mechanism, the X-direction horizontally-moving mechanism and the Z-direction main shaft mechanism are controlled by the drive module to act; the Y-direction horizontally-moving mechanism comprises a stand column, a Y-direction servo motor, a Y-direction synchronous belt, a Y-direction toothless threaded rod, a Y-direction grating ruler, a Y-direction guide rail, a Y-direction slide block, a Y-direction slide table, a Y-direction limiting switch, a Y-direction limiting baffle, a connection belt, bearings, a Y-direction fine adjustment wheel and a detection mechanism balancing weight; the stand column is a rectangular frame, wherein the back face of the stand column is in a U shape; the Y-direction guide rail is installed on the front face of the stand column; and the Y-direction slide table is fixed to the Y-direction guide rail through the Y-direction slide block.