The invention discloses a micromirror spinal dura mater external cavity puncturing device, which mainly comprises a puncture needle medicine outlet, a micromirror camera, a water injection port, a thrust sensor, a water storage bag, a water injection pipe, an optic guide fiber, a syringe body, an electric control push rod, a connecting line and a micromirror computer, wherein the puncture needle medicine outlet is arranged under the water injection port, the micromirror camera is arranged in front of the puncture needle medicine outlet, the water injection port is arranged behind the micromirror camera, the thrust sensor is arranged in front of the electric control push rod, the electric control push rod is arranged under the connecting line, and the micromirror computer is arranged between the thrust sensor and the electric control push rod. The device has the advantages that the accurate puncturing process of the electric control push rod is ensured, and the accuracy of the puncturing position is improved; the manual operation is replaced by the micromirror camera, the judging accuracy is high, and the puncturing effect is improved.