全文获取类型
收费全文 | 25859篇 |
免费 | 2994篇 |
国内免费 | 890篇 |
专业分类
耳鼻咽喉 | 285篇 |
儿科学 | 205篇 |
妇产科学 | 2207篇 |
基础医学 | 2833篇 |
口腔科学 | 927篇 |
临床医学 | 2647篇 |
内科学 | 1413篇 |
皮肤病学 | 372篇 |
神经病学 | 1679篇 |
特种医学 | 1090篇 |
外国民族医学 | 27篇 |
外科学 | 2826篇 |
综合类 | 4872篇 |
现状与发展 | 8篇 |
预防医学 | 1305篇 |
眼科学 | 117篇 |
药学 | 1323篇 |
29篇 | |
中国医学 | 1275篇 |
肿瘤学 | 4303篇 |
出版年
2024年 | 52篇 |
2023年 | 398篇 |
2022年 | 632篇 |
2021年 | 1139篇 |
2020年 | 1037篇 |
2019年 | 845篇 |
2018年 | 772篇 |
2017年 | 1091篇 |
2016年 | 1232篇 |
2015年 | 1179篇 |
2014年 | 2149篇 |
2013年 | 1820篇 |
2012年 | 1722篇 |
2011年 | 1877篇 |
2010年 | 1495篇 |
2009年 | 1287篇 |
2008年 | 1221篇 |
2007年 | 1256篇 |
2006年 | 1128篇 |
2005年 | 870篇 |
2004年 | 727篇 |
2003年 | 712篇 |
2002年 | 529篇 |
2001年 | 499篇 |
2000年 | 329篇 |
1999年 | 305篇 |
1998年 | 299篇 |
1997年 | 263篇 |
1996年 | 268篇 |
1995年 | 239篇 |
1994年 | 217篇 |
1993年 | 164篇 |
1992年 | 156篇 |
1991年 | 149篇 |
1990年 | 125篇 |
1989年 | 131篇 |
1988年 | 112篇 |
1987年 | 90篇 |
1986年 | 92篇 |
1985年 | 141篇 |
1984年 | 153篇 |
1983年 | 106篇 |
1982年 | 125篇 |
1981年 | 93篇 |
1980年 | 115篇 |
1979年 | 71篇 |
1978年 | 68篇 |
1977年 | 59篇 |
1976年 | 69篇 |
1973年 | 42篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
21.
我国是子宫颈癌发病大国,新发病例为9.89万/年,死亡病例3.05万/年,新发病例占全球的19%[1]。根据中国子宫颈癌临床诊疗大数据库的资料,我国72.7%的子宫颈癌患者FIGO分期为ⅠA1~ⅡA2期可手术病例,接受手术为主的综合治疗的患者占72.9%[2]。此外,与西方国家不同,手术病例多是我国子宫颈癌诊疗中的一大特点。根据中国子宫颈癌临床诊疗大数据库的数据,中国子宫颈癌腹腔镜手术的比例从2009年的7.8%快速升高,至2016年腹腔镜手术占比高达79.1%,子宫颈癌腹腔镜手术在中国深受医生患者的喜爱。
浏览更多请关注本刊微信公众号及当期杂志。 相似文献
22.
23.
Thaís dos Santos Fontes Pereira Carolina Cavalieri Gomes Peter A Brennan Felipe Paiva Fonseca Ricardo Santiago Gomez 《Journal of oral pathology & medicine》2019,48(1):3-9
Fibrous dysplasia is a non‐neoplastic developmental process that affects the craniofacial bones, characterized by painless enlargement as a result of bone substitution by abnormal fibrous tissue. Postzygotic somatic activating mutations in the GNAS1 gene cause fibrous dysplasia and have been extensively investigated, as well as being helpful in the differential diagnosis of the disease. Fibrous dysplasia may involve one (monostotic) or multiple bones (polyostotic), sporadically or in association with McCune‐Albright syndrome, Jeffe‐Lichenstein syndrome, or Mazabreud syndrome. This review summarizes the current knowledge on fibrous dysplasia, emphasizing the value of integrating the understanding of its molecular pathogenesis with the clinical, radiological, and histopathological features. In addition, we address important aspects related to the differential diagnosis and patient management. 相似文献
24.
Diede L. Loopik Renée M. Ebisch Joanna IntHout Willem J. Melchers Leon F. Massuger Ruud L. Bekkers Albert G. Siebers 《International journal of cancer. Journal international du cancer》2020,147(3):897-900
Women with cervical intraepithelial neoplasia grade 3 (CIN3) have a long-lasting increased risk for noncervical high-risk human papillomavirus (hrHPV)-related (pre)malignancies. The aim of our study was to estimate this risk in women with recurrent CIN3 compared to women without a history of CIN3 and women with a single episode of CIN3. Women with a CIN3 diagnosis between 1990 and 2010 were obtained from the Dutch Pathology Registry (PALGA) and matched with a control group of women without CIN3. Analysis has been conducted in a subset of women with recurrent CIN3, defined as reoccurrence minimally 2 years post-treatment. Cases of noncervical hrHPV-related (pre)malignancies of the anus, vulva, vagina and oropharynx were identified until 2015 and incidence rate ratios (IRRs) were estimated. Then, 1,797 women with recurrent CIN3 were included with a median age of 34 years (range 18–76) and 31,594 person-years of follow-up. Women with recurrent CIN3 had an increased risk of developing noncervical hrHPV-related (pre)malignancies compared to women without CIN3 with an IRR of 25.96 (95%CI 6.32–106.58). The IRR was 2.48 (95% CI 1.87–3.30) compared to women with a single episode of CIN3. Studies on posttreatment follow-up and prophylactic hrHPV vaccination are warranted. 相似文献
25.
目的:研究右美托咪定在宫颈癌根治术后镇痛及术后快速康复中的临床应用效果。方法:将2015年7月至2018年7月在本院行宫颈癌根治术的86例患者随机分为对照组和观察组各43例。对照组术后镇痛采用舒芬太尼和格拉司琼,观察组术后镇痛加用右美托咪定。采用视觉模拟评分法(VAS)评价患者术后1 h、6 h、12 h、24 h、48 h疼痛情况,采用Ramesay评分法评价患者不同时间点镇静状况,记录并比较两组患者不同时间点收缩压、舒张压、心率及呼吸频率变化,比较两组患者不良反应发生情况。结果:观察组患者术后6 h、12 h、24 h、48 h VAS评分均明显低于对照组(P<0.05),Ramesay评分均明显高于对照组(P<0.05);观察组和对照组患者术后不同时间点呼吸频率比较,差异无统计学意义,但术后6 h、12 h、24 h观察组患者收缩压、心率均明显低于对照组(P<0.05),术后1 h、6 h观察组患者舒张压明显低于对照组(P<0.05);观察组患者恶心呕吐、高血压发生率较对照组明显减低。结论:右美托咪定用于宫颈癌根治术后镇痛,可以提高镇痛镇静效果,稳定患者血流动力学,有助于术后快速康复。 相似文献
26.
27.
Significance of 18F-FDG PET/CT in Characterization of Equivocal Lesions in High-Risk Testicular Carcinoma in Restaging Setting 下载免费PDF全文
Rashid RasheedFareeda Al-KandariMohammad GhanemFahad MarafiSharjeel Usmani 《Asian Pacific journal of cancer prevention》2020,21(2):511-515
Objectives: The present study aims to evaluate the role of Positron emission tomography (PET) -computed tomography (CT) with 18F-fluorodeoxyglucose (18F-FDG) in the restaging of high-risk testicular cancer. Methods: Forty-five patients (mean age of 38.1±11.3 years and range 23-81 years) with testicular carcinoma, underwent 18F-FDG PET-CT during their clinical course were prospectively selected. PET positivity was defined as a site of abnormal 18F-FDG uptake in tissue histologically proven or clinically or radiographically suspected to represent tissue involvement. The sites of disease were characterized as either nodal or extranodal. All patients were followed-up for at least 12 months with a diagnostic and/or functional imaging modality. Results: Of the 45 patients 38 (84%) patient presented with seminoma and 7 (16%) were Non-seminomatous germ cell tumors. Analysis of secondary disease spectrum showed nodal involvement in 65%, osseous involvement in 23% and mixed visceral/soft tissue lesions in 12% of patients. Nineteen (42%) were negative for any metastatic disease. All negative patients remain disease free in the follow-up of one year. Out of the positive 26/45 patients, PET-CT showed progressive disease in 3/26, stable disease 1/26 and partial response in 2/26 and complete metabolic resolution in 20/26 patients. 18F-FDG PET-CT was able to characterize all patients leading to significant change of primary decision of wait and watch to go for treatment and vice versa. Conclusion: 18F-FDG PET-CT scan is potentially an excellent tool for characterization of equivocal lesions on CT scan in the restaging settings and follow up of high-risk testicular cancer patients. 相似文献
28.
29.
《Journal of endodontics》2019,45(10):1228-1236
IntroductionThe balance between the host proinflammatory immune response and the counteracting anti-inflammatory and reparative responses supposedly determine the outcome of periapical lesions. In this scenario, the vasoactive intestinal peptide (VIP) may exert a protective role because of its prominent immunoregulatory capacity. In this study, we investigated (in a cause-and-effect manner) the potential involvement of VIP in the development of human and experimental periapical lesions.MethodsPeriapical granulomas (n = 124) and control samples (n = 48) were comparatively assessed for VIP and multiple immunologic/activity marker expression through real-time polymerase chain reaction. Experimental periapical lesions (C57Bl/6 wild-type mice) were evaluated regarding endogenous VIP expression correlation with lesion development and the effect of recombinant VIP therapy in lesion outcome. CCR4KO and IL4KO strains and anti-glucocorticoid-induced TNFR-related protein inhibition were used to test the involvement of Treg and Th2 cells in VIP-mediated effects.ResultsVIP expression was more prevalent in periapical granulomas than in controls, presenting a positive association with immunoregulatory factors and an inverse association/correlation with proinflammatory mediators and the receptor activator of nuclear factor kappa B ligand/osteoprotegerin ratio. Endogenous VIP expression up-regulation was temporally associated with lesion immunoregulation and a decline of bone loss. VIP therapy in mice prompted the arrest of lesion development, being associated with an anti-inflammatory and proreparative response that limits the proinflammatory, Th1, Th17, and osteoclastogenic response in the periapex. The VIP protective effect was dependent of Treg migration and activity and independent of interleukin 4.ConclusionsOur results show that VIP overexpression in human and experimental periapical lesions is associated with lesion inactivity and that VIP therapy results in the attenuation of experimental lesion progression associated with the immunosuppressive response involving Treg cells. 相似文献
30.
《Clinical lung cancer》2020,21(5):e405-e414
BackgroundProgrammed cell death 1 (PD-1) inhibitors have become a standard treatment, albeit not completely effective, for patients with advanced non–small-cell lung cancer (NSCLC). Previous studies of advanced melanoma have revealed that the tumor burden predicted the response to PD-1 inhibitors, although this relationship has remained unclear for NSCLC.Patients and MethodsThe present single-center retrospective study evaluated 163 patients with advanced NSCLC who had received PD-1/programmed cell death ligand 1 (PD-L1) inhibitor monotherapy from December 2015 to December 2018. The clinical tumor burden was estimated using the baseline sum of the target lesions’ longest diameters (BSLDs), measured according to the Response Evaluation Criteria for Solid Tumors, and the baseline number of metastatic lesions (BNMLs).ResultsThe optimal cutoff values for predicting progression-free survival (PFS) were 5 for the BNMLs and 76 mm for the BSLDs, using the minimum P value method. The low-BNML group included 73 patients (44.8%). The median PFS was 12.2 months in the low-BNML group and 2.8 months in the high-BNML group (hazard ratio, 0.51; P = .0005). The low-BSLD group included 92 patients (56.4%). The median PFS was 9.6 months in the low-BSLD group and 3.4 months in the high-BSLD group (hazard ratio, 0.52; P = .0006). Multivariable analysis revealed that low-BSLD, low-BNML, nonsquamous histologic type and a PD-L1 tumor proportion score of ≥ 50% were independently associated with prolonged PFS.ConclusionsPD-L1 expression and the clinical tumor burden can predict the efficacy of PD-1/PD-L1 inhibitor monotherapy for NSCLC. 相似文献