Fullerton J K, Smith C E, Milner S M
Memorial Medical Center, Division of Plastic Surgery, Southern Illinois University School of Medicine, Springfield, IL 62794, USA.
Ann Plast Surg. 2000 Oct;45(4):462-4. doi: 10.1097/00000637-200045040-00022.
Skin grafts are vulnerable to shear stress, infection, and hematoma formation during the postoperative period, all of which reduce graft survival. Various methods of dressing application and materials have been described in the literature to try and prevent graft loss. The authors report the use of the "stegosaurus dressing" (Eggcrate Pad) in 6 patients to secure skin grafts. Patients chosen were those who were either noncompliant or who sustained burns in unfavorable anatomic sites. All grafts demonstrated complete take without infection and hematoma formation. This foam dressing provides an even pressure to the recipient bed, absorbs drainage, and protects the graft from shearing. It also demonstrates the versatility to be used in difficult nonburn skin graft areas. The stegosaurus dressing is easy to apply, inexpensive, and provides a very secure dressing over the skin graft.
在术后期间，皮肤移植易受剪切力、感染和血肿形成的影响，所有这些都会降低移植皮片的存活率。文献中描述了各种敷料应用方法和材料，试图防止移植失败。作者报告了对6例患者使用“剑龙敷料”（蛋托垫）来固定皮肤移植。所选患者为那些不配合治疗或在不利解剖部位烧伤的患者。所有移植皮片均完全成活，无感染和血肿形成。这种泡沫敷料能为受皮床提供均匀压力，吸收引流液，并保护移植皮片免受剪切力。它还展示了在困难的非烧伤皮肤移植区域使用的多功能性。剑龙敷料易于应用，价格低廉，并能在皮肤移植上提供非常可靠的包扎。
