Ahmed I, Hussain S
Department of Radiology, Aga Khan University Medical Centre, Karachi, Pakistan.
East Afr Med J. 1995 Jun;72(6):391-3.
This paper describes our experience of percutaneous nephrostomy (PCN) using self-fabricated catheters. Our effort is to restrain the cost of this common procedure, and at the same time, deliver results comparable to other studies in the literature. In 152 patients, 175 PCN were performed for various indications using simple tools for "pulling catheters". All nephrostomy catheters were fabricated from commercially available 7.2 F polyethylene catheter material. Our success rate of 96%, major and minor complication rates at 2.3% and 6.3% respectively, compare favourably with the reported series. The variable cost of nephrostomy, in our cases, was less than one-third compared with that using commercially available nephrostomy sets. Use of self-fabricated nephrostomy catheters is a cost-effective way of performing nephrostomy especially in environments where health maintenance resources are scarce, health insurance is not freely available, and patients bear the cost of the treatment. This is particularly relevant to the developing countries where PCN is frequently needed but the nephrostomy sets are not easily available.
本文描述了我们使用自制导管进行经皮肾造瘘术（PCN）的经验。我们致力于控制这一常见手术的成本，同时取得与文献中其他研究相当的结果。在152例患者中，使用简单的“拔管”工具，针对各种适应症进行了175次PCN。所有肾造瘘导管均由市售的7.2F聚乙烯导管材料制成。我们96%的成功率、分别为2.3%和6.3%的主要和次要并发症发生率，与报道的系列相比具有优势。在我们的病例中，肾造瘘术的可变成本比使用市售肾造瘘套件低不到三分之一。使用自制肾造瘘导管是一种具有成本效益的肾造瘘术实施方式，特别是在卫生维护资源稀缺、无法免费获得健康保险且患者承担治疗费用的环境中。这对于经常需要PCN但肾造瘘套件不易获得的发展中国家尤为重要。
