Disclosed is a microcirculation imaging monitoring apparatus, comprising: a light source system (101), a spectroscope (102), a light guide pipe (103), a reflecting mirror (104), an optical imaging probe (105), an analyzer (106) and an optical zoom system (107). The light source system (101) provides polarized light having a polarization direction parallel to the incident plane of the surface of the skin the polarized light reaches the reflecting mirror (104) after transmission through the spectroscope (102) and the light guide pipe (103) the reflecting mirror (104) adjusts the incident angle of the polarized light when it is projected onto the incident plane of the surface of the skin the optical imaging probe (105) collects the light returning to the surface of the skin after scattering through human tissue and transmits it to the analyzer (106) the analyzer (106) transfers the light to the optical zoom system (107) after filtering the light for human tissue imaging acquisition. The microcirculation imaging monitoring apparatus enables the penetration depth of the polarized light into the human tissue to be adjustable, and the field of view and resolution of the apparatus can be adjusted in real time, in order to achieve more detailed observations on specific areas for microcirculation imaging. Also disclosed is a microcirculation imaging monitoring method.La présente invention concerne un appareil de surveillance par imagerie de la microcirculation, comprenant : un système source de lumière (101), un spectroscope (102), un tube de guidage de la lumière (103), un miroir réfléchissant (104), une sonde dimagerie optique (105), un analyseur (106) et un système de zoom optique (107). Le système source de lumière (101) fournit de la lumière polarisée ayant une direction de polarisation parallèle au plan dincidence de la surface de la peau la lumière polarisée atteint le miroir réfléchissant (104) après transmission par le spectroscope (102) et le tube de guidage de lum