全文获取类型
收费全文 | 497篇 |
免费 | 14篇 |
国内免费 | 16篇 |
专业分类
耳鼻咽喉 | 1篇 |
儿科学 | 8篇 |
妇产科学 | 1篇 |
基础医学 | 30篇 |
口腔科学 | 53篇 |
临床医学 | 39篇 |
内科学 | 45篇 |
神经病学 | 9篇 |
特种医学 | 98篇 |
外科学 | 181篇 |
综合类 | 30篇 |
预防医学 | 12篇 |
药学 | 8篇 |
中国医学 | 3篇 |
肿瘤学 | 9篇 |
出版年
2023年 | 5篇 |
2022年 | 14篇 |
2021年 | 27篇 |
2020年 | 18篇 |
2019年 | 19篇 |
2018年 | 24篇 |
2017年 | 15篇 |
2016年 | 20篇 |
2015年 | 14篇 |
2014年 | 31篇 |
2013年 | 37篇 |
2012年 | 28篇 |
2011年 | 24篇 |
2010年 | 21篇 |
2009年 | 33篇 |
2008年 | 32篇 |
2007年 | 14篇 |
2006年 | 9篇 |
2005年 | 6篇 |
2004年 | 15篇 |
2003年 | 11篇 |
2002年 | 14篇 |
2001年 | 11篇 |
2000年 | 5篇 |
1999年 | 11篇 |
1998年 | 12篇 |
1997年 | 8篇 |
1996年 | 4篇 |
1995年 | 3篇 |
1994年 | 3篇 |
1993年 | 2篇 |
1992年 | 3篇 |
1991年 | 4篇 |
1990年 | 1篇 |
1989年 | 6篇 |
1988年 | 2篇 |
1987年 | 3篇 |
1986年 | 2篇 |
1985年 | 3篇 |
1984年 | 4篇 |
1982年 | 3篇 |
1981年 | 2篇 |
1980年 | 1篇 |
1978年 | 1篇 |
1977年 | 1篇 |
1975年 | 1篇 |
排序方式: 共有527条查询结果,搜索用时 31 毫秒
31.
Rings, intravenous lines, and other objects on the injured upper extremities of trauma patients are frequently overlooked
by radiology and emergency department (ED) personnel. This can impair proper radiologic evaluation of the injured extremity
as well as negatively affect the quality of the patient's treatment. A 1-week sample of radiographs of injured upper extremities
from the ED of University Medical Center (UMC), Tucson, Arizona, showed that 20% of the studies (19 of 95) contained at least
one object on the injured upper extremity, but only one radiology report (1.1%) mentioned such an object. A review of 2489
upper extremity ED radiology reports from January to June 2002 showed only 47 reports (1.9%) that mentioned the presence of
an overlying object. It is important to educate radiology department and ED personnel to remove upper extremity jewelry and
place necessary medical devices on noninjured extremities.
Electronic Publication 相似文献
32.
目的探讨幼年性玻璃样变纤维瘤病临床病理特点、放射学表现及鉴别诊断。方法对1例幼年性玻璃样变纤维瘤病患者进行病理学、免疫组织化学、放射学检查和分析。结果该幼年性玻璃样变纤维瘤病患者具有较明确的临床病理学特征,细胞成分vimentin强阳性,淀粉酶消化后PAS强阳性;该患者尚具有"类恒磨牙、成熟游离骨和颧骨颧弓发育不全"等特殊放射学特征。结论幼年性玻璃样变纤维瘤病是一种罕见非肿瘤性的常染色体隐性遗传性疾病,好发于婴幼儿,常以头颈部皮下、牙龈、关节和骨骼内积聚大量的细胞外玻璃样物质为特点,形成多发性肿瘤样结节或肿块,可依靠病理及免疫组织化学检查确诊。 相似文献
33.
Degenerative instability affecting the functional spinal unit is discussed as a cause of symptoms. The value of imaging signs
for assessing the resulting functional impairment is still unclear. To determine the relationship between slight degrees of
degeneration and function, we performed a biomechanical study with 18 multisegmental (L2-S2) human lumbar cadaveric specimens.
The multidirectional spinal deformation was measured during the continuous application of pure moments of flexion/extension,
bilateral bending and rotation in a spine tester. The three flexibility parameters neutral zone, range of motion and neutral
zone ratio were evaluated. Different grading systems were used: (1) antero-posterior and lateral radiographs (degenerative
disk disease) (2) oblique radiographs (facet joint degeneration) (3) macroscopic and (4) microscopic evaluation. The most
reliable correlation was between the grading of microscopic findings and the flexibility parameters; the imaging evaluation
was not as informative. 相似文献
34.
Kety Nicopoulou-Karayianni DDS Anthoula Diamanti-Kipioti DDS † 《Australian dental journal》1999,44(2):117-122
Radiographs are of limited value in the diagnosis of osseous defects. Anatomic and technical factors affect the radiographic appearance of bone lesions. This study was undertaken in order to determine whether the radiographic appearance of alveolar osseous defects depends on their location, and particularly whether there are any differences in radiographic detection between bone defects located in the maxilla or the mandible, and on the buccal or lingual aspects of the alveolar crest. Experimental bone lesions were created in the alveolar crest of a skull. Standardized periapical radiographs were obtained before and after the defects were made. After processing, pairs of radiographs were randomly mounted. Five dentists acted as observers in order to determine whether or not a change in alveolar bone was detectable at each of the five possible locations. The unpaired t test was applied for the assessment of statistically significant differences with respect to sensitivity, specificity, and positive diagnostic value in the diagnosis of bone lesions depending on their location. The results showed that the anatomic location of a lesion in the alveolar bone affected its radiographic appearance. Moreover, experimental defects were detected more often in the mandible and on the lingual surfaces of the alveolar crest. 相似文献
35.
老年人桡骨远端骨折影像学参数测量与临床疗效的关系 总被引:1,自引:1,他引:0
目的 :通过分析老年人桡骨远端骨折患者经过保守治疗后各影像学参数和临床疗效之间的关系,从而提出老年人桡骨骨折行手法复位中最重要的影像学参数。方法:回顾性分析自2012年5月至2015年5月行保守治疗的60岁以上的桡骨远端骨折患者45例,男17例,女28例;年龄60~89岁,平均64.49岁;随访测量影像学参数以并评价临床疗效。影像学参数是在标准腕关节X线片上测量掌倾角、桡骨高度、尺骨变异、尺偏角等;腕关节临床疗效通过Dienst评分标准来评价;多因素线性回归法分析各影像参数与临床疗效的关系。结果 :45例患者均获得随访,时间12~24个月,平均17.6个月;所有桡骨远端骨折获得愈合。末次随访根据Dienst评价:优27例,良10例,可6例,差2例。影像学参数指标中桡骨高、掌倾角以及尺骨变异和自测腕关节功能有明显相关性。当桡骨高8.12 mm、掌倾角-1.64°、尺骨变异4.05 mm时,Dienst功能结果优良率较高。结论 :桡骨高、掌倾角及尺骨变异等影像学参数与老年桡骨远端骨折的临床疗效恢复有相关性,其中最重要的参数为桡骨高度,提醒术者对于老年人桡骨骨折行手法复位时复位前后尤为注意该参数。 相似文献
36.
Mahdieh Khodaei Camila Pachêco-Pereira Suzana Trac Andrew Chan Lawrence H Le Edmond Lou 《The spine journal》2018,18(11):2128-2139
BACKGROUND CONTEXT
Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity recognized with lateral curvature of the spine as well as axial vertebral rotation. Surgical interventions are recommended when patients with AIS have severe curvature (Cobb angle >45o). Spinal flexibility is one of important parameters for surgeons to plan surgical treatment. Few radiographic methods have been developed to assess spinal flexibility.PURPOSE
A systematic review was performed to evaluate which preoperative radiographic methods should be used to estimate spinal flexibility based on the postoperative outcomes.STUDY DESIGN
Studies which included any of the five radiographic methods: (1) supine side-bending (SBR), (2) fulcrum-bending (FBR), (3) traction, (4) push-prone, and (5) suspension were reviewed and compared to determine which method provided the most accurate estimation of the postoperative outcomes.PATIENT SAMPLE
Seven case series, one case control, and multiple cohort studies reported the flexibility assessment methods with the estimations of postoperative outcomes on patients with AIS.OUTCOME MEASURES
The flexibility index defined as a correction rate relative to flexibility rate was used to estimate the immediate and final follow-up postoperative outcomes.METHODS
Seven databases searched included MEDLINE, CENTRAL, EMBASE, CINAHL, Web of Science, LILACS, and Google Scholar. Three independent reviewers were involved for abstracts and full-texts screening as well as data extraction. The Quality in Prognostic Studies quality appraisal tool was used to assess the risk of bias within the studies. Also, the GRADE system rate was used to assess the evidence level across the studies.RESULTS
Forty-six articles were included. The distribution of the five flexibility methods in these 46 studies were SBR 38/46 (83%), fulcrum bending radiograph (FBR) 16/46 (35%), traction radiograph 5/46 (11%), push-prone 1/46 (2%), and suspension 1/46 (2%). Based on the overall assessment of flexibility indices, FBR had the best estimation of postoperative correction among the five methods. FBR method provided the best estimations of immediate and final follow-up postoperative outcomes for moderate (25°–45°) and severe (>45°) curves, respectively. For main thoracic and thoracolumbar/lumbar curves, the best estimations were traction, and FBR. However, in the reviewed articles, the risk of bias was rated moderate and the quality of evidence was rated very low to low so that a strong conclusive statement cannot be made.CONCLUSIONS
SBR method was the most commonly used method to assess the spinal flexibility. The FBR method was the most accurate method to estimate the postoperative outcomes based on the limited evidence of the 46 articles. 相似文献37.
Benlong Shi Qinghua Zhao Liang Xu Zhen Liu Xu Sun Zezhang Zhu Yong Qiu 《The spine journal》2018,18(11):2059-2064
Background Context
Several osteotomy techniques including pedicle subtraction osteotomy and vertebral column resection have been employed in the correction of congenital kyphosis (CK) and satisfying outcomes have been demonstrated. However, the Scoliosis Research Society (SRS)-Schwab Grade 4 osteotomy, defined as resection of posterior elements, partial vertebral body, and superior adjacent disc, is rarely reported in the treatment of CK.Purpose
The present study aimed to evaluate the efficiency and safety of SRS-Schwab Grade 4 osteotomy in patients with CK, and to propose its optimal indication.Study Design
This is a retrospective analysis of clinical and radiographic outcomes of patients with CK undergoing SRS-Schwab Grade 4 osteotomy.Patients Sample
Patients with thoracolumbar CK undergoing SRS-Schwab Grade 4 osteotomy from January 2010 to May 2015 followed up for at least 2 years were retrospectively reviewed.Outcome Measures
The thoracic kyphosis, lumbar lordosis, segmental kyphosis (SK), sagittal vertical axis (SVA), pelvic incidence, pelvic tilt, and sacral slope were measured on lateral spinal x-rays. Patients were required to fulfill the SRS-22 questionnaire at preoperation and the last follow-up.Materials and Methods
The sagittal spinal-pelvic parameters were assessed at preoperation, postoperation, and last follow-up. The comparison between preoperation and postoperation was performed by paired samples t test.Results
A total of 38 patients with CK (17 male and 21 female) with an average age of 16.5±9.9 years were included. The mean operating time was 242.7±88.1 minutes and blood loss was 634.5±177.8?mL. The mean follow-up was 38.8±20.3 months. The SK was 49.5±11.7° at preoperation, 6.8±7.4° at postoperation (p<.001), and 8.0±8.1° at the last follow-up. No significant correction loss during follow-up was found in SK (p=.125). The SVA was improved from ?36.0±18.3?mm at preoperation to 3.7±17.8?mm at postoperation (p<.001), and the correction was well maintained during follow-up (p=.113). Compared with preoperation, the mean postoperative scores of each domains of SRS-22 questionnaire improved at different levels. Intraoperative complications included one case with incidental dural tear and another with transient root injury. Proximal junctional kyphosis occurred in three patients at 6 months after operation and remained stable during the follow-up. At the last follow-up, all patients were identified to have achieved solid bony fusion.Conclusions
The SRS-Schwab Grade 4 osteotomy, if selected appropriately, could provide satisfying correction of congenital kyphosis. The correction could be well maintained during the longitudinal follow-up. 相似文献38.
39.
V. Perlepe P. Omoumi A. Larbi D. Putineanu J.-E. Dubuc T. Schubert B. Vande Berg 《Diagnostic and interventional imaging》2018,99(6):381-386
Purpose
To determine the frequency and causes for limitations in the radiographic evaluation of surgically treated long bone fractures.Materials and methods
Six readers separately scored 140 sets of antero-posterior (AP) and lateral radiographs of surgically treated long bone fractures, using a radiographic union score (RUS). We determined the rate of assessability of the fracture edges at each of the four cortical segments (n = 560) seen tangentially on the two radiographs and the causes for non-assessability. The rate of feasibility of the RUS (more than two fracture edges assessable per fracture) was determined and compared according to different parameters.Results
Fracture edges were visible in 71% to 81% of the 560 cortical segments. Metal hardware superimposition was the most frequent cause for non-assessability (79–95%). RUS values could be calculated in 58% to 75% of fractures. Scoring was statistically significantly less frequently calculable in plated (31–56%) than in nailed fractures (90–97%), in distal (47–61%) than in proximal (78–89%) bones and in upper (27–49%) than in lower (76–91%) limb bones (P ≤ 0.01).Conclusions
The type of stabilization hardware is the main limiting factor in the radiographic assessment of surgically treated long bone fractures. Scoring was feasible in only 31% to 56% of plated fractures. 相似文献40.
Iinuma G Moriyama N Miyakawa K Yamamoto N Fujii T Shimoda T Ishikawa T Ushio K 《Abdominal imaging》2003,28(4):0492-0504
Background: We assessed the radiographic characteristics of early colorectal carcinomas with submucosal invasion (CCSI) with the use of double-contrast images.
Methods: From 1989 to 1997, 193 patients with 196 CCSI lesions underwent double-contrast barium enema examinations. Three gastrointestinal radiologists retrospectively reviewed the radiographic characteristics of the lesions and classified them as protruding and depressed types by consensus. Further, subclassifying the protruding into lobular and smooth types was accomplished on the basis of surface structure. Each type was compared with pathologic findings of resected specimens.
Results: The incidence of the protruding type was 98.0%, and that of the depressed type was only 2.0%. The proportion of smooth lesions was 49.0% for the protruding type; these had a mean diameter of 17.9 mm, which was significantly smaller than the 23.1 mm mean observed for lobular lesions (p < 0.01). Of the smooth lesions, 44.7% demonstrated massive invasion, whereas 91.8% of lobular lesions exhibited only slight or moderate invasion into the submucosa (p < 0.01). The extent of invasion of the smooth lesions was greater than that for their lobular counterparts in terms of venous and lymph node involvement.
Conclusion: Almost all CCSIs could be identified radiologically as protruding lesions; these had a smooth rather than a lobulated surface and demonstrated greater malignancy, despite the smaller size. It is clinically important to discriminate these from other polypoid lesions in establishing patient treatment. Double-contrast imaging is useful for evaluation of the surface characteristics of CCSIs in barium enema studies. 相似文献