Haberal M, Gulay H, Tokyay R, Oner Z, Enunlu T, Bilgin N
Turkish Transplantation and Burn Foundation Hospital, Ankara.
World J Surg. 1992 Nov-Dec;16(6):1183-7. doi: 10.1007/BF02067097.
From November 3, 1975 to November 3, 1990, 874 kidney transplants were performed at out centers. Of these, 675 (77.2%) were from living donors and 199 (22.8%) were from cadaver donors. Five hundred eighty (66.4%) of the living donors were first degree related while 99 (11.3%) were unrelated or second degree related donors, 29 of which were spouses. All donor recipient pairs were ABO-compatible, with the exception of one pair. Donor recipient relations were wife to husband in 25 cases and husband to wife in 4 cases. All were first grafts and started functioning during surgery. In this series, the follow-up for the recipients was 4 to 64 months (mean 33.5 +/- 4.5 months). One-year patient survival and graft survival rates were 92.4% and 81.9%, respectively. Two-year patient survival and graft survival rates were 92.4% and 78.2%, respectively. The single ABO-incompatible case is also doing well, 21 months postoperatively. This study demonstrates that the interspouse kidney transplantation may be used when cadaver organ shortage is a problem. While providing the couple with a better quality of life, interspouse kidney transplantation also enables the couple to share the joy of giving and receiving the "gift of life" from one another.
1975年11月3日至1990年11月3日期间，我们中心共进行了874例肾移植手术。其中，675例（77.2%）来自活体供体，199例（22.8%）来自尸体供体。580例（66.4%）活体供体为一级亲属，99例（11.3%）为非亲属或二级亲属供体，其中29例为配偶。除1对不匹配外，所有供受者血型均相容。供受者关系为妻子供肾给丈夫的有25例，丈夫供肾给妻子的有4例。所有移植均为首次移植，且在手术中即开始发挥功能。在这一系列病例中，受者的随访时间为4至64个月（平均33.5±4.5个月）。1年的患者生存率和移植肾生存率分别为92.4%和81.9%。2年的患者生存率和移植肾生存率分别为92.4%和78.2%。唯一的1例ABO血型不匹配病例术后21个月情况也良好。本研究表明，在尸体器官短缺的情况下，夫妻间肾移植是可行的。夫妻间肾移植不仅能提高夫妻双方的生活质量，还能让他们共同分享给予和接受“生命礼物”的喜悦。
