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Conventional geostress measurement methods are limited by deficiencies including the measurable depth, the complexity, and the long duration of operation. To address these problems and achieve the measurement of geostress in deep wells under conditions of complex high pressures and high temperatures, we propose a new measurement method for geostress based on an integrated drilling and optical microscopy system. Its innovative integrated structure eliminates the problems associated with complex procedures and depth limits, and avoids rock creep caused by long delays, significantly improving the accuracy and range of the measurements. It works by using microscopic imaging and direct contact probes to capture the changes of a borehole's cross-sectional outlines before and after stress relief. The resulting images are analyzed with search circles to obtain the positions of probe apices, which can be fitted into ellipses that describe the outlines, and calculate the state of the stress. The validity and accuracy of the method was verified by indoor tests and field applications in the ZK1 borehole. The results show that: (1) the integrated system can be used to measure micrometer-grade deformations; (2) the searchcircle approach can accurately obtain the positions of probe apices; and (3) the stress measurement method based on the system is accurate and feasible.