As demand for high-performance electric vehicles, portable electronic equipment, and energy storage devices increases rapidly, the development of lithium-ion batteries with higher specific capacity and rate performance has become more and more urgent. As the main body of lithium storage, negative electrode materials have become the key to improving the performance of lithium batteries. The high specific capacity and low lithium insertion potential of silicon materials make them the best choice to replace traditional graphite negative electrodes. Pure silicon negative electrodes have huge volume expansion effects and SEI membranes (solid electrolyte interface) are easily damaged. Therefore, researchers have improved the performance of negative electrode materials through silicon-carbon composites. This article introduces the current design ideas of ultra-fine silicon structure for lithium batteries and the method of compounding with carbon materials, and reviews the research progress of the performance of silicon-carbon composite negative electrode materials. Ultra-fine silicon materials include disorderly dispersed ultra-fine silicon particles such as porous structures, hollow structures, and core-shell structures; and ordered ultra-fine silicon, such as silicon nanowire arrays, silicon nanotube arrays, and interconnected silicon nano-films. The article analyzes and compares the composite method of ultrafine silicon and carbon materials with different structural designs, and the effect of composite negative electrode materials on the specific capacity and cycle performance of the battery. Finally, the research direction of silicon-carbon composite negative electrode materials is prospected.