Tunnels play important roles in integrated transport infrastructure. A digital twin reproduces a real tunnel scene in virtual space and provides new means for tunnel digital maintenance. Aiming at the existing problems of video fragmentation, separation of video and business data, and lack of two- and three-dimensional linkage response methods in tunnel digital operation, in this paper, we propose a novel method for tunnel digital twin construction and virtual-real integration operation. Firstly, the digital management requirements of tunnel operations are systematically analyzed to clarify the purpose of digital twin construction. Secondly, BIM technology is used to construct a static model of the tunnel scene that conforms to the real tunnel main structure. Thirdly, a three-dimensional registration and projection calculation method is proposed to integrate tunnel surveillance video into a three-dimensional virtual scene in real time. Fourthly, multi-source sensing data are gathered and fused to form a digital twin scene that is basically the same as the real tunnel traffic operations scene. Finally, a management model suitable for digital twins is discussed to improve the efficiency of tunnel operations and management, and a tunnel in China is selected to verify this method. The results show that the proposed method is helpful to realize the application of two- and three-dimensional linkages of tunnel traffic smooth, accident rescue, facility management, and emergency response, and to improve the efficiency of tunnel digital management.