The invention relates to the technical field of synthesis of drug related substances, and particularly discloses a preparation method of E-type cefditoren sodium. The preparation method of the E-type cefditoren sodium comprises the following steps: cooling a mixed solution composed of water and acetone to 0-5 DEG C, adding E-type 7-ATCA and AE active ester, adjusting the pH value to 8-8.5 by using organic alkali, heating to 15-25 DEG C, reacting, and maintaining the pH value of the reaction solution at 8-8.5 in the reaction process; and after the reaction is finished, adding an acetone solution of sodium isooctoate, growing crystals, carrying out suction filtration, and drying to obtain the E-type cefditoren sodium. According to the preparation method of the E-type cefditoren sodium provided by the invention, the E-type cefditoren sodium with high purity and high yield can be obtained, the whole preparation method is simple to operate, the reaction condition is mild, and the finally obtained E-type cefditoren sodium completely meets the requirement of serving as a cefditoren pivoxil reference substance and has good application prospects. Important data support is provided for ensuring the quality detection of the cefditoren pivoxil.