Train wheel wear is a critical factor affecting train operational safety, making the accurate and objective evaluation of wheel wear condition essential. However, current approaches are still constrained by inadequate measurement accuracy and incomplete evaluation methods, to address this issue, this study proposes an integrated method for the high-precision measurement and wear condition evaluation of train wheels. A mul-ti-sensor data fusion-based measurement method is developed to synchronously acquire key wear-related parameters, including wheel diameter, flange height, and flange thick-ness. Based on the measured data, an improved matter-element model combined with game-theoretic weighting is established to evaluate wheel wear condition. Experimental results show that the proposed online measurement method for in-service wheels achieves standard deviations below 0.15 mm, and the measurement errors satisfy the re-quirements of Chinese railway industry standards. The evaluation results derived from the high-precision measurement data indicate that wheel wear condition gradually dete-riorates with increasing service mileage, and that flange height wear is the dominant fac-tor affecting the wear grade. These findings are consistent with actual operating condi-tions. The proposed method integrates high-precision multi-parameter measurement with wear condition evaluation, providing a reliable technical basis for wheel condition moni-toring and predictive maintenance in rail transit.