The present invention discloses a clustering algorithm-based multi-parameter cumulative calculation method for lower limb vascular calcification indexes, including the following steps: firstly carrying out super-pixel segmentation of a CT image, and enabling calcified spots in the CT image to be segmented in each super-pixel region; after the super-pixel segmentation is accomplished, extracting a brightness characteristic value of a super-pixel region where the calcified spots are located by using a Lab color space, and performing edge detection and contour extraction on the calcified spots in the image; and after edge detection and contour extraction, fitting the calcified spots in the image by using a segmented ellipse, and extracting the area of the calcified spots after optimizing an ellipse contour.