尝试这个。下面的代码将在 TempFolder 中保存选择的音频文件的专辑封面
private async void btnPickFile_Click(object sender, RoutedEventArgs e)
{
    string[] Music = new string[] { ".mp3", ".wma", ".m4a", ".aac" };
    FileOpenPicker openPicker = new FileOpenPicker();
    foreach (string extension in Music)
    {
        openPicker.FileTypeFilter.Add(extension);
    }
    StorageFile file = await openPicker.PickSingleFileAsync();
    if (file != null)
    {
        await SaveThumbnail("MySongThumb.png", file);
    }
}
private async Task SaveThumbnail(string ThumbnailName, StorageFile file)
{
    if (file != null)
    {
        using (StorageItemThumbnail thumbnail = await file.GetThumbnailAsync(ThumbnailMode.MusicView, 100))
        {
            if (thumbnail != null && thumbnail.Type == ThumbnailType.Image)
            {
                var destinationFile = await ApplicationData.Current.TemporaryFolder.CreateFileAsync(ThumbnailName, CreationCollisionOption.GenerateUniqueName);
                Windows.Storage.Streams.Buffer MyBuffer = new Windows.Storage.Streams.Buffer(Convert.ToUInt32(thumbnail.Size));
                IBuffer iBuf = await thumbnail.ReadAsync(MyBuffer, MyBuffer.Capacity, InputStreamOptions.None);
                using (var strm = await destinationFile.OpenAsync(FileAccessMode.ReadWrite))
                {
                    await strm.WriteAsync(iBuf);
                }
            }
        }
    }
}
更新 1
private async Task<StorageFile> SaveThumbnail(StorageItemThumbnail objThumbnail)
{
    if (objThumbnail != null && objThumbnail.Type == ThumbnailType.Image)
    {
        var picker = new FileSavePicker();
        picker.SuggestedStartLocation = PickerLocationId.PicturesLibrary;
        picker.FileTypeChoices.Add("JPEG Image", new string[] { ".jpg" });
        picker.FileTypeChoices.Add("PNG Image", new string[] { ".png" });
        StorageFile destinationFile = await picker.PickSaveFileAsync();
        if (destinationFile != null)
        {
            Windows.Storage.Streams.Buffer MyBuffer = new Windows.Storage.Streams.Buffer(Convert.ToUInt32(objThumbnail.Size));
            IBuffer iBuf = await objThumbnail.ReadAsync(MyBuffer, MyBuffer.Capacity, InputStreamOptions.None);
            using (var strm = await destinationFile.OpenAsync(FileAccessMode.ReadWrite))
            {
                await strm.WriteAsync(iBuf);
            }
        }
        return destinationFile;
    }
    else
    {
        return null;
    }
}