In a rainfed agroecosystem with limited water resources, the symbiotic interactions between crop-arbuscular mycorrhizal fungi may have a significant impact on field productivity and water absorption and utilization. However, the interaction between AMF characteristics of root endophyte and rhizosphere soil and water use patterns of summer maize has not been studied under ridge-furrow with film mulching planting patterns (RFPM) in dry farmland. Based on a field experiment, we aimed to reveal the effects of different RFPM planting patterns (i.e., ridge/furrow ratio of 40:70 cm (RF40:70), ridge/furrow ratio of 55:55 cm (RF55:55), and ridge/furrow ratio of 70:40 cm (RF70:40)) on the root water use patterns of summer maize, the distribution characteristics of AMF in root endophyte and rhizosphere soil, and their interaction relationship by using the water isotope (δD and δ18O) tracer technique, the high-throughput sequencing technology, MixSIAR model, and the structural equation models. As a result, compared to flat planting without mulching (FP), RF40:70, RF55:55, and RF70:40 significantly increased grain yield by 29.74%, 35.24%, and 45.53%, and water use efficiency by 23.13%, 35.99%, and 50.25%, across the two growing seasons, respectively (P < 0.05). The root characteristic parameters of summer maize decreased with the increase in soil depth, and were mainly distributed in the shallow layer (0–20 cm) and middle layer (20–60 cm). Compared with FP, the distribution ratio of root surface area density, root length density, and root dry weight density in shallow soil layer was significantly increased by 5.03%, 7.46%, and 9.70% averaging the different RFPM treatments, respectively (P<0.05). Besides, compared to FP, the AMF abundance and diversity in rhizosphere soil and root endogenous averaged RFPM treatments increased by 32.32% and 29.66% and 5.88% and 28.43% respectively, in which the abundance and diversity gradually increased with the increase of the ratio of ridge-furrow. The PLS-PM results found that the larger ridge-furrow ratio could significantly increase the yield and WUE of summer maize mainly by increasing the root surface area density, root length density, and the abundance and diversity of AMF in the root endophyte and rhizosphere soil, which increased the water use of the middle and deep layer soils. In summary, the large ridge-furrow ratio can significantly increase the yield and WUE of summer maize by extending the hyphal network of maize root symbiotic AMF, which increases the water uptake of middle and deep layer soil.