This article divides the prestressed anchor cables that have appeared in engineering into three categories based on the stress characteristics of the anchor cable anchorage section, namely load concentration type, load dispersion type, and tension compression composite type. One of each category is selected as a representative, and a detailed analysis is conducted on the structure, stress characteristics, and construction points of the pressure dispersion type anchor cables, secondary grouting full length bonding anchor cables, and tension compression composite anchor cables that are commonly used in engineering. The article emphasizes the structural measures that should be taken when using various anchor cables as permanent support