The invention relates to an integrated opto-acoustic, ultrasonic and opto-acoustic elastic endoscopic imaging device which is characterized in that the imaging device comprises a pulse laser, an optical filter, a diaphragm, an objective and an optical fiber coupler sequentially arranged along the transmission path of pulse laser and also comprises a multimode optical fiber, an optical fiber slip ring, a rotation component, a rotary step motor, an electric slip ring, an integrated probe, a translation platform, a translation step motor, an ultrasonic pulse transceiver, a time delay unit and a computer, wherein the computer is in signal connection with the pulse laser; the pulse laser is in signal connection with the time delay unit; the time delay unit is in signal connection with the ultrasonic pulse transceiver; and the ultrasonic pulse transceiver is in signal connection with the electric slip ring. The invention also relates to a method for imaging by using the imaging device. In the invention, three kinds of imaging can be obtained, the detection precision can be improved while multi-parameter and multi-scale information in blood vessels can be obtained, and the invention belongs to the technical field of blood vessel endoscopy.