1) Background: To reveal the intrinsic relationship between the tidal flat sediments in an estuary wetland and the runoff from the upstream river. This research was conducted in the tidal flats of the Liaohe estuary wetland.(2) Methods: The 137 Cs and 210 Pb dating technique was used to reconstruct the time correspondence between tidal flat sediments and runoff, and the periodic response was explored between the changes in the tidal flat sediments and runoff based on the spectrum analysis method. (3) Results: The average sedimentation rate in the tidal flat was 2.24 cm·year −1 during the past 50 years. The amount of fine sediment particles deposited on the estuary tidal flat was directly related to the amount of sediments transported by the river and inversely proportional to the ability of rivers to transport fine matter. The high frequency reproduction cycle of 14-15 years in the flood season flow and 5-6 years in the annual sediment discharge of the Liaohe River correspond to the high and low frequency reproduction cycles of the median size of sediments in Liaohe estuarine wetland tidal flats. (4) Conclusions: The research clarified the hydrological constraints of the action law between Liaohe River runoff and the estuarine sediments. The periodic response between Liaohe River runoff and the sediment was established.A variety of measures have been used in sedimentary history research, including horizon markers, anchored tiles, rulers, sediment traps, optical backscatter sensors, short-lived radionuclides, biomarkers, and magnetic minerals [3][4][5]. The basis for the ability to record changes in sediment deposition time in all the methods depends on the availability of time markers in the sediment column [6]. Sediment fingerprinting is a well-established method that has proven its value in revealing the time dimension in sediment research [7,8]. Among the methods mentioned above, the molecular diffusion of 137 Cs in sediment may change the vertical profile of the sediment, but it is impossible to change the position of its accumulation peak [9,10]. Therefore, the application of 137 Cs provides an effective way to quantitatively study sedimentary history. 137 Cs is an artificial nuclide with two major peak fallouts in 1963 and 1986 as time markers in the northern hemisphere [11][12][13]. The 210 Pb dating technique can also be used to document changes in sedimentation rates though time and provide a basis for establishing changes in sedimentation process over the past ca. 100 years [14]. In the actual dating analysis, the 210 Pb ex (half-life 22.3a) specific activity in the sediment has been used to estimate the sedimentary age and deposition rate [15,16]. The 137 Cs and 210 Pb dating techniques have been successfully used in related areas for the historical information of sediments in China [17][18][19][20]. In addition, the use of radioactive isotopes 137 Cs and 210 Pb has provided historical sedimentary information for tidal flat sediments in estuaries, which has solved the problem of consistent time scales...