A three-dimensional measurement device which is capable of increasing the operability at the time of repeatedly performing dimension measurement for a plurality of measurement target objects having substantially the same shape is provided. There are included a template storage unit for storing, as a template, model three-dimensional shape data and an operation procedure of dimension measurement performed on the model three-dimensional shape image, and a positional relationship specification unit for specifying a relative positional relationship between the model three-dimensional shape data and measurement three-dimensional shape data. The geometric element extraction unit specifies a geometric element of a measurement three-dimensional shape based on the relative positional relationship and the template, and the dimension value calculation unit performs dimension measurement on the measurement three-dimensional shape based on the relative positional relationship and the template.