全文获取类型
收费全文 | 544502篇 |
免费 | 40891篇 |
国内免费 | 13579篇 |
专业分类
耳鼻咽喉 | 5852篇 |
儿科学 | 13715篇 |
妇产科学 | 8872篇 |
基础医学 | 55213篇 |
口腔科学 | 12028篇 |
临床医学 | 58214篇 |
内科学 | 68972篇 |
皮肤病学 | 6670篇 |
神经病学 | 32831篇 |
特种医学 | 12833篇 |
外国民族医学 | 61篇 |
外科学 | 53094篇 |
综合类 | 85741篇 |
现状与发展 | 28篇 |
一般理论 | 56篇 |
预防医学 | 50390篇 |
眼科学 | 9888篇 |
药学 | 50959篇 |
491篇 | |
中国医学 | 43693篇 |
肿瘤学 | 29371篇 |
出版年
2023年 | 7943篇 |
2022年 | 11857篇 |
2021年 | 20260篇 |
2020年 | 19685篇 |
2019年 | 25245篇 |
2018年 | 23097篇 |
2017年 | 19885篇 |
2016年 | 17573篇 |
2015年 | 16779篇 |
2014年 | 31941篇 |
2013年 | 34076篇 |
2012年 | 29195篇 |
2011年 | 32352篇 |
2010年 | 26867篇 |
2009年 | 24654篇 |
2008年 | 24082篇 |
2007年 | 25800篇 |
2006年 | 22995篇 |
2005年 | 20776篇 |
2004年 | 17280篇 |
2003年 | 15280篇 |
2002年 | 11759篇 |
2001年 | 10911篇 |
2000年 | 8953篇 |
1999年 | 7921篇 |
1998年 | 5930篇 |
1997年 | 5525篇 |
1996年 | 5073篇 |
1995年 | 5107篇 |
1994年 | 4758篇 |
1993年 | 3958篇 |
1992年 | 3742篇 |
1991年 | 3249篇 |
1990年 | 2821篇 |
1989年 | 2572篇 |
1988年 | 2424篇 |
1987年 | 1981篇 |
1986年 | 1751篇 |
1985年 | 4591篇 |
1984年 | 5514篇 |
1983年 | 3787篇 |
1982年 | 4397篇 |
1981年 | 4049篇 |
1980年 | 3607篇 |
1979年 | 3256篇 |
1978年 | 2841篇 |
1977年 | 2156篇 |
1976年 | 2413篇 |
1975年 | 1809篇 |
1974年 | 1579篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
101.
102.
103.
104.
105.
106.
107.
108.
《Cirugía espa?ola》2023,101(2):116-122
IntroductionMetastasis is remaining one of the major problems in cancer treatment. Like many other malignancies, urogenital tumors originating from kidney, prostate, testes, and bladder tend to metastasize to the lungs.The aim of this retrospective study is to evaluate the operative results and prognosis of pulmonary metastasectomy in patients with primary urogenital tumors.MethodsThis study was approved by the local ethical committee. We retrospectively analyzed the surgical and oncological results of patients who underwent lung resections for urogenital cancer metastases in our department between 2002 and 2018. Demographic data and clinicopathological features were extracted from the medical records. Survival outcomes according to cancer subtypes and early postoperative results of VATS and thoracotomy were analyzed.Results22 out of 126 patients referred for pulmonary metastasectomy to our department had metastases from urogenital tumors. These patients consisted of 17 males and five females. Their metastasis originated from renal cell carcinoma (RCC; n = 9), bladder tumor (n = 7), testis tumors (n = 4), and prostate cancer (n = 2). There was no intraoperative complication. Postoperative complications were seen in 2 patients.ConclusionsAlthough pulmonary metastasectomy in various types of tumors is well known and documented, the data is limited for metastases of urogenital cancers in the literature. Despite the limitations of this study, we aim to document our promising results of pulmonary metastasectomy in patients with primary urogenital tumors and wanted to emphasize the role of minimally invasive approaches. 相似文献
109.
《Injury》2023,54(7):110767
AimThis network meta-analysis aims to compare functional outcomes and complications between conservative treatment and surgery for distal radius fractures in patients aged 60 years and over.MethodsWe searched the PubMed, EMBASE, and Web of Science databases for randomized controlled trials (RCTs) assessing the effect of conservative treatment and surgery for distal radius fractures in patients aged 60 years and over. Primary outcomes included grip strength and overall complications. Secondary outcomes included Disabilities of the Arm, Shoulder, and Hand (DASH) scores, Patient-Rated Wrist Evaluation (PRWE) scores, wrist range of motion and forearm rotation, and radiographic assessment. All continuous outcomes were assessed using standardized mean differences (SMDs) with 95% confidence intervals (CIs), and binary outcomes were assessed using odds ratio (OR) with 95% CIs. The surface under the cumulative ranking curve (SUCRA) was used to determine a hierarchy of treatments. Cluster analysis was performed for grouping treatments based on the SUCRA values of primary outcomes.ResultsFourteen RCTs were included to compare conservative treatment, volar lockedplate (VLP), K-wires fixation, and external-fixation. VLP outperformed conservative treatment for 1-year and minimum 2-year grip strength (SMD; 0.28 [0.07 to 0.48] and 0.27 [0.02 to 0.53], respectively). VLP yielded the optimal grip strength at 1-year and minimum 2-year follow-up (SUCRA; 89.8% and 86.7%, respectively). In a subgroup analysis of patients aged 60 to 80 years old, VLP outperformed conservative treatment in DASH and PRWE scores (SMD, 0.33 [0.10, 0.56] and 0.23 [0.01, 0.45], respectively). In addition, VLP had the fewest complications (SUCRA = 84.3%). Cluster analysis suggested that VLP and K-wire fixation were more effective treatment groups.ConclusionEvidence to date demonstrates that VLP provides measurable benefits in grip strength and fewer complications to those 60 years of age and over, and that benefit is not reflected in current practice guidelines. There is a subgroup of patients where K-wire fixation outcomes are similar to those of VLP; defining this subgroup may yield substantial societal benefits. 相似文献
110.