Résumé
Objective To find out the influence of different suffix vowel(abbreviation:SV) on the duration of/s/(a voiceless fricative) with acoustic detection method. Methods Two men and two women who were fluent in Mandarin Chinese were recruited in this study. The words included /s/and the suffix vowel /a/,/u/or/i/.The CSL4150 software from Kay Co. was used to analyze the words. Then we compared the durations of/s/when the suffix vowel was /a/,/i/and/u/,respectively. The influence of difference suffix vowel on the duration was exam_ined, and gender effects were also studied on the duration. ResuIts As a voiceless fricative, when the suffix vowel was /a/,the duration for males was 200. 2, and 276. 8 ms for females, respectively. When the suffix vowel was /i/, the duration for males was 218. 2, and 326. 5 ms for females, respectively. When the suffix vowel was /u/,the dura_tion for males was 214. 5, and 302. 9 ms for females, respectively. ConcIusion When the suffix vowel is different, the duration of stop, resistance and in number is different, and also affected by gender.
Résumé
Objective To establish a ten-zone divisional method of the knee joint and investigate its clinical application to arthroscopic total synovectomy for rheumatoid arthritis (RA). Methods A total of 22 fresh frozen specimens of adult knee joints were prepared for anatomical study on the sagittal septum of the knee to establish ten-zone divisional method of the knee joint. A retrospective study was carried out on 37 patients with early-stage RA (40 knees) undergone arthroscopic total synovectomy. Among the cases,15 knees were operated according to ten-zone divisional method; and the other 25 were treated with the routine method. The patients were followed up for 10-72 months to evaluate their Lysholm score,Lequesne Index,and Larsen stage classification. Results There was a sagittal septum in the knees,connecting anteriorly to the fat pad,alar fold,or mucous ligament. The middle part of the sagittal septum lied between the anterior and posterior cruciate ligaments,and its posterior part formed the posterior septum of the knee. Considering the anatomy of the sagittal septum,the synovium of the knee could be divided into 10 zones. All of the patients underwent total synovectomy by ten-zone divisional method achieved excellent or good outcomes (100%,15/15),none of them recurred during follow-up. Among the 25 knees that received total synovectomy by routine arthroscopic method,17 achieved excellent or good outcomes (68%,17/25),and 8 had recurrence (Fisher's exact test,P=0.016). Conclusions Arthroscopic total synovectomy was one of the effective treatments for early-stage RA. The ten-zone divisional method for total synovectomy according to the structure of the knee sagittal septum could improve the clinical results of total synovectomy for rheumatoid arthritis.