The invention discloses a 3D additive repair device for laser-arc hybrid welding and a repair method. The 3D additive repair device comprises a controller, a four-axis linkage platform, a laser vision sensor, an infrared vision sensor, a fixture, a laser welding torch, an arc welding torch, a filling welding wire, a wire reel and a gas guide pipe. The method includes the steps that a defective workpiece is mounted on a repair workbench; the laser vision sensor is driven to scan the three-dimensional profile of a defect; the three-dimensional profile of the defect is rebuilt through the controller; welding parameters are confirmed; the controller drives the near-infrared vision sensor to scan a molten pool, the time-frequency parameter of an image of the molten pool is obtained, a compensation control code is generated according to the time-frequency parameter of the image of the molten pool, and the set welding parameters are corrected in real time; and after repair is completed, the laser vision sensor is driven again to scan the three-dimensional profile of the defect, whether the repaired workpiece meets the standard or not is confirmed, and if not, the defect is repaired again till the repaired defect meets the standard. The 3D additive repair device for laser-arc hybrid welding and the repair method have the beneficial effects that the structure is simple, operation is convenient, and reliability and adaptability are high.