Due to factors such as temperature, pressure, and production rate, integrity issues like annular leakage in gas well tubing frequently occur frequently. In order to study the influence of working conditions on the process of downhole oil pipe leakage, a high temperature and high pressure oil pipe leakage simulation model was established based on field parameters and compared with the existing mathematical model of small hole leakage. Based on the simulation model, the influence of flow field change, leakage aperture, casing pressure difference and leakage environment on the leakage process was analyzed. The results show that the changes of flow field mainly focus on the inside of the leak hole and the inlet and outlet of the leak hole. With the increase of the leak aperture, the leakage quantity, leakage velocity, pressure and density inside the leak hole increase. The greater the pressure difference between tubing and oil jacket annulus, the greater the leakage amount and leakage velocity, and the more drastic the change of pressure and density. The gas velocity and pressure in the upper part of the annular protective fluid are greater than that in the annular protective fluid section.