Abstract: Objective:To summarize the experience in the treatment of anastomotic stenosis（AS）after TME for rectal cancer.Methods:The Beijing Chaoyang hospital affiliated to the Capital Medical University ，from 2011 to 2018 treated 512 cases of rectal cancer after TME analysis clinical data of 30 patients with AS，20 of whom underwent anastomotic stenosis ring dissection，6 underwent anastomotic stricture dilatation，3 resection of anal rectum anastomotic stenosis ring，transverse colostomy，double cavity l case for initial choice in bare stents to relieve obstruction，intestinal obstruction due to stent in take out again after 1 month，after a single cavity sigmoid colostomy.Results:After anastomotic stenosis surgery，the patients underwent artificial anastomotic orifice dilatation 2～3 times a day through anus，3～5 minutes each time.No symptoms of anastomotic stenosis were observed during followup.Three months after the protective colostomy，the patient could discharge loose stool.Conclusion:AS is the result of multiple factors.Different treatment methods for AS after TME for rectal cancer can achieve good efficacy according to the stenosis site and degree，which is worthy of clinical reference.

Key words: rectal cancer, total mesorectal excision, anastomotic stenosis