Objective To compare the clinical effects of minimally invasive puncture hematoma removal and flap craniotomy hematoma removal on the children with acute traumatic epidural hematoma .Methods Eighty patients with acute traumatic epidural he-matoma treated in the hospital from May 2014 to December 2015 were recruited for the study .With random cluster sampling method , 80 patients were divided into group A and B , each consisting of 40 patients.Group A was treated with minimally invasive puncture , while group B received flap craniotomy removal for treatment .After treatment , therapeutic effects were compared and analyzed between the patients of the 2 groups.Results Curative efficacy in the patients of group A was 90% and that of the patients in group B was 70%(P<0.05).There was statistical significance when comparisons were made between the 2 groups (P<0.05).The surgical time for the patients of group A was shorter than that of the patients in group B , and blood loss and the amount of blood transfusion for the patients of group A were less than those of the patients in group B .Statistical significance could also be found when comparisons were made be-tween the 2 groups (P<0.05).The length of hematoma absorption time , days of dehydrating agent application and length of hospital stay for the patients of group A were shorter than those of the patients in group B , also with statistical significance ( P <0.05). Conclusion The method of minimally invasive puncture hematoma removal in the treatment of acute traumatic epidural hematoma was superior to the method of flap craniotomy hematoma removal , which was worth further clinical application .