As a class of self-organized soft matter systems merging fluidic mobility with long-range molecular order, cholesteric liquid crystals (CLCs) possess immense potential for the development of high-sensitivity, visually tractable flexible sensors. Leveraging their unique helical superstructures and stimuli-responsive photonic bandgaps, CLCs can transduce subtle physical or chemical perturbations into discernible optical signatures, such as Bragg reflection shifts or mesomorphic textural transitions. Nonetheless, the intrinsic fluidity of CLCs often compromises their structural integrity, while conventional one-dimensional (1D) or two-dimensional (2D) confinement geometries exhibit pronounced angular dependence, significantly constraining their detection precision in complex environments. Recently, microfluidic technology has emerged as a pivotal paradigm for achieving sophisticated three-dimensional (3D) spatial confinement of CLCs through the precise manipulation of microscale fluid volumes. This review systematically delineates recent advancements in microfluidics-enabled CLC sensors. Initially, the fundamental self-assembly principles and optical properties of CLCs are introduced, emphasizing the unique advantages of 3D spherical confinement in mitigating angular sensitivity and intensifying interfacial interactions. Subsequently, the primary sensing mechanisms are bifurcated into bulk-driven sensing via pitch modulation and interface-driven sensing via topological configuration transitions. We then detail the microfluidic-based fabrication strategies and engineering protocols for diverse 3D architectures, including monodisperse/multiphase droplets, microcapsules, shells, and Janus structures. Building upon these structural frameworks, current sensing applications in physical (temperature, strain/stress), chemical (volatile organic compounds, ions, pH), and biological (biomarkers, pathogens) detection are evaluated. Lastly, in light of persistent challenges, such as intricate signal interpretation and limited robustness in complex matrices, we propose future research trajectories, encompassing the co-optimization of geometric parameters (size and curvature), artificial intelligence-enhanced automated diagnostics, and multi-field-coupled intelligent integration. This work seeks to provide a comprehensive roadmap for the design of next-generation, high-performance, and portable liquid-state photonic sensing platforms.