The geological structure of the upper reaches of the Yellow River is complex, especially in the Sigouxia-Laganxia section. It has always been a high-incidence area of landslide disasters, which poses a threat to the safe operation of the upper reaches of the Yellow River. In this study, based on the high-precision remote sensing image data, the spatial distribution of each landslide was obtained by superimposing the remote sensing image and the 1:50,000 digital elevation model (DEM). Some typical landslides were selected for detailed field investigation and field verification. The results show that the remote sensing image characteristics of landslides in the upper reaches of the Yellow River are obvious. Through remote sensing interpretation and field investigation, a total of 508 landslides of various types were found, including 24 giant landslides. The spatial spreading patterns of landslides mainly include six types: dumb-bell shape, rectangle, saddle type, long arc shape, triangle, and side-by-side shape. The length and width of the landslide deposit are mainly concentrated at 550–1500 m and 600–1500 m, and the average elevation of the sliding body is mainly concentrated between 2000 and 2800 m. The average slope of the landslide is mainly distributed between 15–20°. Giant landslides are mainly distributed in the Jianzha basin area, surrounded by the Jishishan fault and the Lajishan fault in the West Qinling Mountains. The spatial distribution characteristics of giant landslides have obvious regional differences due to different factors such as lithologic differences and riverside erosion. The research results are of great significance for the early identification, prevention, and mitigation of landslide disasters in the upper reaches of the Yellow River.