您可以使用第三方库，如base64-img或base64-to-image。

base64-img

const base64Img = require('base64-img');

const data = 'data:image/png;base64,...';
const destpath = 'dir/to/save/image';
const filename = 'some-filename';

base64Img.img(data, destpath, filename, (err, filepath) => {}); // Asynchronous using

const filepath = base64Img.imgSync(data, destpath, filename); // Synchronous using

base64-to-image

const base64ToImage = require('base64-to-image');

const base64Str = 'data:image/png;base64,...';
const path = 'dir/to/save/image/'; // Add trailing slash
const optionalObj = { fileName: 'some-filename', type: 'png' };

const { imageType, fileName } = base64ToImage(base64Str, path, optionalObj); // Only synchronous using

下面的函数保存文件，只要传递你的base64文件，它返回文件名保存在DB中。

import fs from 'fs';
 const uuid = require('uuid/v1');

/*Download the base64 image in the server and returns the filename and path of image.*/
function saveImage(baseImage) {
    /*path of the folder where your project is saved. (In my case i got it from config file, root path of project).*/
    const uploadPath = "/home/documents/project";
    //path of folder where you want to save the image.
    const localPath = `${uploadPath}/uploads/images/`;
    //Find extension of file
    const ext = baseImage.substring(baseImage.indexOf("/")+1, baseImage.indexOf(";base64"));
    const fileType = baseImage.substring("data:".length,baseImage.indexOf("/"));
    //Forming regex to extract base64 data of file.
    const regex = new RegExp(`^data:${fileType}\/${ext};base64,`, 'gi');
    //Extract base64 data.
    const base64Data = baseImage.replace(regex, "");
    const filename = `${uuid()}.${ext}`;

    //Check that if directory is present or not.
    if(!fs.existsSync(`${uploadPath}/uploads/`)) {
        fs.mkdirSync(`${uploadPath}/uploads/`);
    }
    if (!fs.existsSync(localPath)) {
        fs.mkdirSync(localPath);
    }
    fs.writeFileSync(localPath+filename, base64Data, 'base64');
    return filename;
}

这对我来说简单而完美。

斯科特·罗宾逊的精彩解释

从映像到base64字符串

let buff = fs.readFileSync('stack-abuse-logo.png');
let base64data = buff.toString('base64');

从base64字符串到映像

let buff = Buffer.from(data, 'base64');
fs.writeFileSync('stack-abuse-logo-out.png', buff);

非常简单

const path = require('path');
const { readFile, stat, writeFile } = require("fs/promises");

(async () => {

    try {

        const contents = await readFile(path.join(__dirname, 'clau.jpg'), { encoding: 'base64' });

        console.log(contents);

        await writeFile(path.join(__dirname, 'claumia.jpg'), Buffer.from(contents, 'base64'));

    } catch (error) {
        console.log(error)
    }

})()

简单的方法将base64图像转换为文件，并保存为一些随机id或名称。

// to create some random id or name for your image name
const imgname = new Date().getTime().toString();

// to declare some path to store your converted image
const path = yourpath.png    

// image takes from body which you uploaded
const imgdata = req.body.image;    

// to convert base64 format into random filename
const base64Data = imgdata.replace(/^data:([A-Za-z-+/]+);base64,/, '');
fs.writeFile(path, base64Data, 'base64', (err) => {
    console.log(err);
});

// assigning converted image into your database
req.body.coverImage = imgname

从base64字符串文件转换为png图像。

有4个变体。

var {promisify} = require('util');
var fs = require("fs");

var readFile = promisify(fs.readFile)
var writeFile = promisify(fs.writeFile)

async function run () {

  // variant 1
  var d = await readFile('./1.txt', 'utf8')
  await writeFile("./1.png", d, 'base64')

  // variant 2
  var d = await readFile('./2.txt', 'utf8')
  var dd = new Buffer(d, 'base64')
  await writeFile("./2.png", dd)

  // variant 3
  var d = await readFile('./3.txt')
  await writeFile("./3.png", d.toString('utf8'), 'base64')

  // variant 4
  var d = await readFile('./4.txt')
  var dd = new Buffer(d.toString('utf8'), 'base64')
  await writeFile("./4.png", dd)

}

run();