In order to explore the possibility of enhanced nitrogen and phosphorus removal in wastewater using sludge anaerobic fermentation liquid as external carbon source, the present study proposed an A2/O reactor system with a total effective volume of 4 660 L and real municipal wastewater for treatment. The results showed that under the conditions of the influent COD at 243.7 mg x L(-1), NH4(+) -N at 30. 9 mg x L(-1), TN at 42.9 mg'L- , TP at 2.8 mg x L(-1), the backflow ratio of nitrification liquid at 200% and recycle ratio of sludge at 100%, the addition of acetic acid into anoxic tank could enhance the removal efficiency of nitrogen and phosphorus, and the optimal influent quantity and SCOD incremental of carbon were 7 500 L x d(-1) and 50 mg L(-1), respectively. When the sludge fermentation liquid was used as external carbon source and the average effluent COD, NH4(+) -N, TN, TP removal efficiency were 81.60%, 88.91%, 64.86% and 87.61%, the effluent concentrations were 42.18, 2.77, 11.92 and 0.19 mg x L(-1), respectively, which met China's first Class (A) criteria specified in the Discharge Standard Urban Sewage Treatment Plant Pollutant (GB 18918-2002). The results of the present study demonstrated that the addition of sludge anaerobic fermented liquid as external carbon source was a feasible way to enhance the removal of nitrogen and phosphorous in municipal wastewater, providing a new feasible strategy for the reuse and recycle of sewage sludge in China.