Cov hlab ntsha femoral (artery, los ntawm Latin arteria, los ntawm Greek arteria, femoral, los ntawm qis Latin femoralis) yog ib qho ntawm cov hlab ntsha tseem ceeb ntawm cov ceg qis.

Txoj hauj lwm. Ob ntawm tus lej, cov hlab ntsha femoral nyob rau hauv qis qis, thiab ntau dua ntawm lub duav thiab lub hauv caug (1).

Keeb kwm. Cov hlab ntsha femoral ua raws cov hlab ntsha sab nraud ntawm lub duav (1).

Kab. Cov hlab ntsha femoral dhau los ntawm daim duab peb sab femoral, tsim nyob rau hauv ib feem los ntawm lub ligament inguinal. Nws txuas mus los ntawm cov kwj dej adductor, txuas mus rau cov pob txha femoral los ntawm daim duab peb sab femoral mus rau adductor tendon hiatus (1) (2).

txiav. Cov hlab ntsha femoral xaus thiab txuas ntxiv los ntawm cov hlab ntsha popliteal los ntawm cov leeg nqaij ntawm lub adductor (1).

Ceg ntawm cov hlab ntsha femoral. Raws li nws txoj kev, cov hlab ntsha femoral ua rau cov ceg sib txawv (2):

• Cov hlab ntsha epigastric sab saum toj pib hauv qab lub ligament inguinal, tom qab ntawd nce mus.
• Cov hlab ntsha sab nraud txaj muag mus rau ntawm daim tawv nqaij ntawm thaj tsam inguinal. Lawv kuj taug kev ntawm theem ntawm labia majora ntawm qhov chaw mos hauv cov poj niam, thiab hauv cov scrotum hauv cov txiv neej.
• Lub iliac circumflex cov hlab ntsha ntawm lub ntsej muag khiav mus rau ntawm daim tawv nqaij ntawm lub duav, thiab tshwj xeeb tshaj yog nyob rau thaj tsam ntawm iliac qaum.
• Cov hlab ntsha sib sib zog nqus femoral tshwm sim txog 5cm los ntawm lub ligament inguinal thiab sawv cev rau ceg tseem ceeb tshaj plaws ntawm cov hlab ntsha femoral. Tom qab ntawd nws ua rau ntau ceg: cov hlab ntsha nruab nrab ntawm tus ncej puab, sab nraub qaum ntawm tus ncej puab, thiab peb mus rau plaub lwm cov hlab ntsha perforating.
• Cov hlab ntsha qis ntawm lub hauv caug pib nyob rau hauv cov kwj dej adductor thiab mus rau theem ntawm lub hauv caug thiab nruab nrab sab ntawm ceg.

Kev ywg dej. Cov hlab ntsha femoral tso cai rau vascularization ntawm ntau cov qauv hauv lub duav thiab qis qis, thiab feem ntau hauv tus ncej puab.

Pathology cuam tshuam rau cov hlab ntsha femoral tuaj yeem ua rau mob hauv cov ceg qis.

Arteritis ntawm cov ceg qis. Arteritis ntawm cov ceg qis sib raug rau kev hloov pauv ntawm cov phab ntsa ntawm cov hlab ntsha, nrog rau cov hlab ntsha femoral (3). Qhov no pathology ua rau muaj kev cuam tshuam ntawm cov hlab ntsha ua rau txo qis hauv cov ntshav thiab oxygen. Cov txheej txheem dej tsis zoo thiab cov leeg tsis muaj oxygen. Qhov no hu ua ischemia. Kev mob caj dab feem ntau yog tshwm sim los ntawm kev tso cov roj cholesterol nrog kev tsim cov plaques, atheromas. Cov no ua rau cov tshuaj tiv thaiv inflammatory: atherosclerosis. Cov tshuaj tiv thaiv kab mob no tuaj yeem ncav cuag cov qe ntshav liab thiab ua rau thrombosis.

Thrombosis. Qhov no pathology sib raug rau kev tsim cov ntshav txhaws hauv cov hlab ntsha. Thaum cov kab mob no cuam tshuam rau cov hlab ntsha, nws hu ua arterial thrombosis.

Kub siab. Qhov no pathology sib raug rau cov ntshav siab dhau ntawm cov phab ntsa ntawm cov hlab ntsha, tshwm sim tshwj xeeb ntawm qib ntawm cov hlab ntsha femoral. Nws tuaj yeem ua rau muaj kev pheej hmoo ntawm cov kab mob vascular (4).

Tshuaj kho mob. Raws li kev kuaj mob pathology, qee cov tshuaj yuav raug sau tseg, tshwj xeeb yog txhawm rau txo cov ntshav siab.

Thrombolyse. Siv thaum lub sijhawm mob hlab ntsha tawg, qhov kev kho mob no suav nrog txhawm rau txhawm rau txhawm rau txhawm rau txhaws, lossis ntshav khov, nrog kev siv tshuaj.

Kev phais mob. Raws li kev kuaj mob pathology thiab nws cov evolution, kev phais yuav tsim nyog. Nyob rau hauv cov xwm txheej ntawm arteritis, clamping ntawm cov hlab ntsha femoral, piv txwv li, yuav tsum tau ua kom cuam tshuam cov ntshav ntws nyob rau hauv cov hlab ntsha (2).

Kev kuaj lub cev. Ua ntej tshaj plaws, kev tshuaj ntsuam mob tau ua tiav txhawm rau txheeb xyuas thiab ntsuas qhov mob pom los ntawm tus neeg mob.

Kev kuaj mob kuaj mob. X-ray, CT, CT, thiab kev kuaj ntshav tuaj yeem siv los txheeb xyuas lossis ntxiv qhov kev kuaj mob.

Doppler ultrasound kev kho mob. Qhov ultrasound tshwj xeeb no ua rau nws muaj peev xwm soj ntsuam cov ntshav ntws.

Nyob rau hauv cov xwm txheej ntawm arteritis, clamping ntawm cov hlab ntsha femoral yuav tsum tau ua kom tsis txhob nyob rau hauv cov hlab ntsha (2). Lo lus "clamping" los ntawm lus Askiv lo lus "clamp" nyob rau hauv kev twb kev txuas nrog rau phais clamp siv nyob rau hauv cov txheej txheem no.