In recent years, the industry has increasingly adopted vision-guided laser processing techniques to machine cooling holes in turbine blades, placing higher demands on the accuracy of visual measurement. Therefore, to meet the need for high-precision measurement of the three-dimensional shape of turbine blades in the context of laser processing of film cooling holes, this paper proposes a structured light-based method for precise reconstruction of turbine blade point clouds and multi-point cloud registration. Specifically, to improve the accuracy of point cloud reconstruction, an improved phase matching and reconstruction method based on epipolar constraints is proposed. To enhance the accuracy and stability of multi-point cloud registration, a weighted iterative closest point (ICP) method combined with a mark point registration strategy is proposed, optimizing the stability of the ICP algorithm and achieving high-quality multiple point cloud stitching. Experimental results validate the effectiveness and accuracy of the proposed method.