The invention discloses a steel truss arch bridge and a construction method. The steel truss arch bridge comprises main piers, tie bars, steel pipe piles, temporary buttresses, chord members, hangingrods, support steel pipes, support crawling ladders, #-shaped ladders, steel bar hanging cages, leveling steel pipes, H-shaped cross beams, cross beams, movable longitudinal beams, channel steel, a guardrail with a safety green net, flange plates, steel pipe stand columns, a jig frame, an anti-falling net, a rest platform, longitudinal-transverse bridge construction channels, wood springboards andguardrail net arch ribs. According to the construction method, construction is conducted according to the sequence of first bridge and then arch. The construction method comprises the following stepsof firstly mounting side spans and combination sections, then mounting mid-span bridge decks, finally mounting main arch rib hanging rods, chord members, transverse braces, parallel braces and web members, assisting construction by utilizing a temporary buttress system, arranging safety protection crawling ladders and #-shaped ladders at the side parts of temporary brackets, and erecting construction channels between the temporary brackets. Working of workers among all parts is facilitated, and the safety coefficient is increased.