全文获取类型
收费全文 | 5431篇 |
免费 | 245篇 |
国内免费 | 114篇 |
专业分类
耳鼻咽喉 | 18篇 |
儿科学 | 44篇 |
妇产科学 | 19篇 |
基础医学 | 526篇 |
口腔科学 | 612篇 |
临床医学 | 224篇 |
内科学 | 277篇 |
皮肤病学 | 14篇 |
神经病学 | 108篇 |
特种医学 | 179篇 |
外科学 | 2786篇 |
综合类 | 555篇 |
预防医学 | 66篇 |
眼科学 | 7篇 |
药学 | 229篇 |
2篇 | |
中国医学 | 49篇 |
肿瘤学 | 75篇 |
出版年
2024年 | 11篇 |
2023年 | 146篇 |
2022年 | 230篇 |
2021年 | 337篇 |
2020年 | 298篇 |
2019年 | 269篇 |
2018年 | 222篇 |
2017年 | 204篇 |
2016年 | 217篇 |
2015年 | 207篇 |
2014年 | 409篇 |
2013年 | 417篇 |
2012年 | 271篇 |
2011年 | 328篇 |
2010年 | 239篇 |
2009年 | 242篇 |
2008年 | 228篇 |
2007年 | 216篇 |
2006年 | 175篇 |
2005年 | 141篇 |
2004年 | 113篇 |
2003年 | 102篇 |
2002年 | 80篇 |
2001年 | 64篇 |
2000年 | 62篇 |
1999年 | 60篇 |
1998年 | 49篇 |
1997年 | 55篇 |
1996年 | 50篇 |
1995年 | 37篇 |
1994年 | 32篇 |
1993年 | 36篇 |
1992年 | 22篇 |
1991年 | 27篇 |
1990年 | 22篇 |
1989年 | 22篇 |
1988年 | 17篇 |
1987年 | 15篇 |
1986年 | 17篇 |
1985年 | 11篇 |
1984年 | 11篇 |
1983年 | 9篇 |
1982年 | 18篇 |
1981年 | 6篇 |
1980年 | 5篇 |
1979年 | 14篇 |
1978年 | 6篇 |
1976年 | 10篇 |
1975年 | 5篇 |
1974年 | 2篇 |
排序方式: 共有5790条查询结果,搜索用时 250 毫秒
11.
难复性肱骨近端骨折脱位的手术治疗 总被引:1,自引:0,他引:1
目的探讨难复性肱骨近端骨折脱位的合理手术治疗,以提高疗效。方法回顾性总结27例难复性肱骨近端骨折脱位病例资料。按NEER分型,两部分骨折脱位16例行切开复位T形钢板或三叶草钢板内固定,三部分骨折脱位11例行切开复位克氏针张力带内固定,术中采用可吸收缝线修补撕裂的肩袖及关节囊,术后早期功能锻炼。结果27例均获随访,时间12~59个月,平均29个月。疗效评价标准参照Constant-Murley评定方法,优良率达85.2%。结论对于难复性肱骨近端骨折脱位,保护局部血运甚为重要,术中采用间接复位技术、合理选择简单有效的内固定、充分保护软组织及修复肩袖等原则的应用对于术后功能恢复及预防相关并发症十分重要。 相似文献
12.
Salvage of a failed valgus osteotomy for nonunion
of an unstable pertrochanteric fracture is reported.
A valgus intertrochanteric osteotomy was performed for a
failed sliding hip screw fixation of an unstable
pertrochanteric fracture at another institution. Four months
following osteotomy, the fracture was still un-united with
two distal screws of the hip plate broken and a coxa vara
deformity. Reconstruction was performed with a nine-hole
95° angle blade plate and cancellous bone graft, because the
insufficient fixation of the distal fragment was considered to
be the main reason for failure. The osteotomy was healed at
six months post-surgery and the patient reported complete
resolution of symptoms. Intertrochanteric valgus osteotomy
is an effective procedure for mal-union and non-union of
pertrochanteric fracture but stable fixation is required for a
good result. The blade of the angle plate offers good purchase
of the proximal fragment and secures it under rotational
and bending stresses. We recommend that distal fragments
should be fixed with at least seven cortices for this
type of osteotomy. 相似文献
13.
14.
[目的]探讨全脊柱截骨矫正脊柱后凸的治疗经验。[方法]全脊柱截骨加椎弓根钉内固定系统闭合及植骨矫正脊柱后凸。[结果]于1984~2005年采用上述方法治疗50例病人。术后全组病例均未发生脊髓损伤,术后临床症状得到不同程度的改善。经历2~15a平均2.4a随访,X线CT复查示螺钉位置良好,无松动断钉。植骨3个月后均达到满意融合。[结论]经全脊柱截骨加有效的内固定手术不仅手术视野开阔操作安全方便;而且截骨和内固定相结合同时完成,是治疗脊柱后凸目前更完善并不断改进一种好方法。 相似文献
15.
Robert A. Mischkowski Max J. Zinser Alexander C. Kübler Barbara Krug Ulrich Seifert Joachim E. Zller 《Journal of cranio-maxillo-facial surgery》2006,34(8):478-483
BACKGROUND: An augmented reality tool for computer assisted surgery named X-Scope allows visual tracking of real anatomical structures in superposition with volume rendered CT or MRI scans and thus can be used for navigated translocation of bony segments. METHODS: In a feasibility study X-Scope was used in orthognathic surgery to control the translocation of the maxilla after Le Fort I osteotomy within a bimaxillary procedure. The situation achieved was compared with the pre-operative situation by means of cephalometric analysis on lateral and frontal cephalograms. RESULTS: The technique was successfully utilized in 5 patients. Maxillary positioning using X-Scope was accomplished accurately within a range of 1mm. The tool was used in all cases in addition to the usual intra-operative splints. A stand-alone application without conventional control does not yet seem reasonable. CONCLUSION: Augmented reality tools like X-Scope may be helpful for controlling maxillary translocation in orthognathic surgery. The application to other interventions in cranio-maxillofacial surgery such as Le Fort III osteotomy, fronto-orbital advancement, and cranial vault reshaping or repair may also be considered. 相似文献
16.
肱骨近端移位骨折的手术治疗 总被引:5,自引:0,他引:5
目的:总结肱骨近端移位骨折的手术治疗方法和疗效。方法:分析手术治疗肱骨近端骨折28例资料。患者平均年龄24.4岁,平均随访2年6个月;手术均采用三角肌胸大肌间隙入路,钢板固定15例,交叉克氏针固定11例,单纯螺丝钉固定15例;采用Neer分类及评分方法评价手术结果。结果:两部分外科颈骨折优良率为64.7%,无头坏死及不愈合,三部分骨折和四部分骨折切开复位的满意率较低。结论:两部分骨折和三部分骨折可采用切开复位内固定,但尽量避免使用钢板;对四部分骨折,内固定满意率较低且肱骨头坏死率较高。 相似文献
17.
18.
复方积雪草有效组分对人肾小管上皮细胞补体C3表达的影响 总被引:2,自引:1,他引:1
目的:探讨复方积雪草有效组分——积雪草苷/大黄素干预肿瘤坏死因子-α(TNF-α)诱导的人肾近曲小管上皮细胞(HPTEC)补体C3 mRNA及蛋白的表达水平。方法:采用HPTEC,模型组TNF-α 10ng/ml诱导,治疗组在TNF-α诱导的同时,以不同浓度的积雪草苷、大黄素以及积雪草苷合大黄素进行干预,于24h后分别提取细胞RNA及上清,应用逆转录-聚合酶链反应(RT—PCR)和酶链免疫方法(ELISA)分别检测HPTEC C3 mRNA和蛋白的表达。结果:正常HPTEC具有C3 mRNA和蛋白表达,经TNF-α诱导后G表达明显上调,用不同浓度的积雪草苷、大黄素以及积雪草苷合大黄素干预后,C3 mRNA及蛋白水平表达出现不同程度的下调,呈一定的剂量依赖关系和协同作用。结论:复方积雪草有效组分能够抑制炎性细胞因子TNF-α上调所致的肾局部G过度产生。 相似文献
19.
20.
William P. Grant DPM Laurence G. Rubin DPM Guy R. Pupp DPM George Vito DPM Dwayne Jacobus DPM Erin A. Jerlin DPM Harry S. Tam DPM 《The Journal of foot and ankle surgery》2007,46(5):325-335
The purpose of this study was to assess 7 methods of fixation for a midtarsal osteotomy. Polyurethane foam models (N = 6) and cadaver specimens (N = 4-7) were used to examine the force generated by the different constructs of fixation. A midtarsal osteotomy was performed on each specimen in the test groups. The osteotomies were fixated either with 2 parallel 0.062-in Kirschner wires and 40-mm-long, 4-mm partially threaded, cancellous, cannulated titanium screws, an external ring fixator (frame), a frame with wires tensioned (tension), a frame with wires tensioned and compressed toward the osteotomy (tension and compression), a frame with tension, compression, and parallel Kirschner wires, or a frame with tension, compression, and two 4.0 cannulated parallel screws, respectively. Each model was fixated, and the force generated by the construct across the osteotomy was recorded via the use of pressure-sensitive film. Statistical analysis of the data in the polyurethane foam group determined that the use of frame with tension, compression, and two 4.0 parallel cannulated screws was statistically superior to 1) frame, 2) frame with tension, 3) 2 parallel Kirschner wires, 4) two 4.0 cannulated parallel screws, and 5) frame with tension and compression. A cadaver study determined that the frame with tension, compression, and 2 parallel Kirschner wires was statistically superior to 1) frame and 2) two parallel Kirschner wires. These findings suggest that there is a difference in the force generated by the type of fixation construct across a midtarsal osteotomy. 相似文献