A QTTH system based on multicore optical fiber mode division multiplexing, wherein comprising: an OLT end, a MDM-ODN and an ONU end, wherein the OLT end, the MDM-ODN and the ONU end are sequentially connected by an optical fiber; the MDM-ODN comprising a mode multiplexer and a mode demultiplexer, and the mode multiplexer and the mode demultiplexer are connected with each other through MCF, the OLT end comprising a classical signal transmitter, N DV-QKD units and N+1 mode convertors of the OLT end; the ONU end comprising N DV-QKD receivers, a classical signal receiver, N+1 mode convertors of the OLT end, 2N+1 PDs and one OC of the ONU end; the N DV-QKD receivers are respectively connected with the mode demultiplexer through PDs; the N+1 mode convertors of the OLT end are connected with the demultiplexer.