首页 | 本学科首页   官方微博 | 高级检索  
文章检索
  按 检索   检索词:      
出版年份:   被引次数:   他引次数: 提示:输入*表示无穷大
  收费全文   2260篇
  免费   122篇
  国内免费   17篇
儿科学   15篇
妇产科学   2篇
基础医学   243篇
口腔科学   5篇
临床医学   119篇
内科学   14篇
皮肤病学   2篇
神经病学   25篇
特种医学   198篇
外科学   1111篇
综合类   356篇
预防医学   66篇
眼科学   5篇
药学   181篇
  3篇
中国医学   42篇
肿瘤学   12篇
  2024年   9篇
  2023年   35篇
  2022年   94篇
  2021年   97篇
  2020年   69篇
  2019年   75篇
  2018年   77篇
  2017年   68篇
  2016年   85篇
  2015年   82篇
  2014年   144篇
  2013年   152篇
  2012年   160篇
  2011年   156篇
  2010年   145篇
  2009年   133篇
  2008年   140篇
  2007年   112篇
  2006年   98篇
  2005年   99篇
  2004年   101篇
  2003年   54篇
  2002年   36篇
  2001年   38篇
  2000年   32篇
  1999年   17篇
  1998年   8篇
  1997年   15篇
  1996年   8篇
  1995年   14篇
  1994年   6篇
  1993年   8篇
  1992年   2篇
  1991年   4篇
  1990年   3篇
  1989年   1篇
  1988年   4篇
  1987年   3篇
  1986年   4篇
  1985年   5篇
  1984年   3篇
  1982年   1篇
  1979年   2篇
排序方式: 共有2399条查询结果,搜索用时 15 毫秒
1.
2.
多层螺旋CT对胫骨平台骨折的诊断价值   总被引:3,自引:0,他引:3  
目的:评价MSCT在胫骨平台骨折的分类及制定合理的治疗方案方面的价值。方法:对24例常规X线平片或临床诊断为胫骨平台骨折的患者进行MSCT扫描,并对图像进行MPR、SSD和VR重建,对骨折的部位、范围、碎骨片的数量或骨折程度、胫骨平台受累情况、手术入路、骨质疏松程度及骨组织的缺损等做出评价。骨折的分型根据Swiss AO-ASIF法。结果:24例患者中有19例进行了手术治疗,术中所见与轴位MSCT和MPR、SSD及VR重建图像综合做出的诊断一致。结论:MSCT及其MPR、SSD、VR重建技术对于胫骨平台的骨折分型及术前评价有重要意义。  相似文献   
3.
Objective  Stiffness and severe deformity pose a major challenge in total knee arthroplasty. Numerous techniques have been described to gain exposure and improve knee flexion. Tibial tubercle osteotomy provides excellent and safe exposure of the joint, although mechanical and wound complications have been reported. Materials and methods  We present a series of 32 consecutive complex primary total replacements where an osteotomy of the tibial tubercle was utilised. Results  The patients had a mean follow-up of 2 years and 11 months. Following the procedure, with the exception of one case complicated with deep infection, all of the patients had improved clinically. The mean postoperative range of motion had increased to 102° (give P value < 0.005) and there were no cases of delayed union or non-union. A mechanical complication related to technique occurred in one patient; there were no other cases with a postoperative extension lag. Conclusion  In this challenging population group, we have found a tibial tubercle tuberosity osteotomy to greatly facilitate exposure without compromising the clinical and radiographic outcome.  相似文献   
4.
目的探讨16层螺旋CT(16层SCT)及其三维重建(3-D)与多平面重组(MPR)在胫骨平台骨折诊断中的应用价值。方法39例胫骨平台骨折病例经膝关节常规X线平片检查后,采用16层SCT进行膝关节的多层面螺旋CT扫描,在工作站上作3D及MPR影像后处理,就胫骨平台骨折的平片与16层SCT影像进行比较及综合分析。结果39例胫骨平台骨折中,X线平片漏诊1例髁间隆突骨折、1例内髁骨折及1例双髁骨折,此3例(7.69%)平片漏诊的骨折均为16层SCT予以诊断。16层SCT的3-D影像可清晰显示胫骨平台骨折的立体形态;MPR影像则可明确显示胫骨平台内部的骨质损伤情况如骨折的具体部位、关节面碎裂及塌陷程度、骨折移位距离。结论16层SCT能够显示X线平片难于诊断的胫骨平台隐匿性骨折;3-D及MPR成像技术十分有利于全面观察胫骨平台骨折的形态变化,是16层SCT横轴位扫描的重要补充。  相似文献   
5.
6.
Abstract Complex tibial plateau fractures are a challenge in trauma surgery. In these fractures it is necessary to anatomically reduce the articular part of the fracture and to obtain stable fixation. The aim of this study is to review the results of a surgical technique consisting of fluoroscopic closed reduction and combined percutaneous internal and external fixation. Thirty-two complex tibial plateau fractures in 32 patients were included. Twenty-one fractures were closed, 4 were open Gustilo grade I, 3 were Gustilo grade II and 4 were Gustilo grade III. The mean age was 37.8 years (range 21–64 years). Surgery was performed with patients in transcalcaneal traction and the knee flexed at 30° was used. Through a 1-cm incision centred over the tibial metaphysis of the tibia, a 3.2-mm hole was drilled in the antero-medial tibial aspect. The tibial plateau fracture fragments were elevated using either 1 or 2 curved Kirschner wires under fluoroscopy to control the reduction. Then the fragments were fixed with 2 cannulated AO screws inserted through small incisions into the medial aspect of the tibial plateau. Knee rehabilitation started postoperatively. Weight bearing started after 8–12 weeks depending upon the radiographic appearance. All external fixators were removed in outpatient facilities. All patients were clinically and radiographically evaluated at a mean follow-up of 48 months (range 38–57 months). Clinical results were evaluated according to the Knee Society clinical score. Average healing time was 24 weeks (range 18–29 weeks). In 1 patient a non-union occurred. This patient was treated with open reduction and plate fixation. In 2 patients a varus knee deformity occurred and a surgical correction was performed. There were no surgical complications. Mean knee range of motion was 105° (range 75–125°) and mean Knee Society clinical score was 89. Twenty-five results were scored as excellent, 4 good, 2 fair and 1 poor. Using this technique there is limited soft tissue damage and virtually no periosteum damage to the fracture fragments. However anatomical reconstruction of the joint can be obtained. Furthermore knee rehabilitation can be started immediately after surgery. We think that these factors were responsible for the optimal clinical long-term results.  相似文献   
7.
Abstract Simultaneous bilateral avulsions of the tibial tuberosity are rare injuries. The authors found only five reported cases in the orthopedic literature. We add a further case of bilateral avulsions of the tibial tuberosity with the longest reported follow-up.  相似文献   
8.
关节镜辅助下微创经皮螺钉内固定治疗胫骨平台骨折   总被引:5,自引:0,他引:5  
目的:探讨关节镜辅助下微创经皮螺钉内固定治疗胫骨平台骨折的可行性及疗效。方法:自2001年1月-2005年1月,应用膝关节镜检查及监测下经皮螺钉内固定治疗胫骨平台骨折27例,按照Schatzker分类法:Ⅰ型9例,Ⅱ型8例,Ⅲ型5例,Ⅳ型5例。所有病例均行经皮骨折有限显露复位,适当植骨,应用1~3枚松质骨拉力螺钉内固定,术后配合CPM功能锻炼。结果:本组随访6~24个月,平均15个月。骨折临床愈合时间3~4个月,平均3·5个月。无畸形愈合、感染、螺钉断裂。按Sanders膝关节功能评分法评定结果:优12例,良11例,中3例,差1例,优良率85·2%。结论:关节镜辅助经皮螺钉内固定是治疗胫骨平台骨折的有效方法之一,其对膝关节创伤小,可达解剖复位,固定可靠,患肢功能恢复好,并发症少。  相似文献   
9.
Conclusions The peroneal nerves and their blood supply are at risk during high tibial osteotomies. Fixation of nerves by fibrous tissues, compression by tendinous arcades of the peroneus longus tendon, and narrow passages for nerves crossing dense fibrous septa are all factors which favor the development of peroneal nerve lesions. Intraoperative soft tissue retraction and pull by retractors may damage nerves and vessels. The muscle branch for the extensor hallucis longus muscle is particularly at risk during the fibular osteotomy since it runs directly on the bone.  相似文献   
10.
本文采用三维位移测量方法,测试10例离体人膝标本的胫股关节三维运动特性。发现屈膝过程中,胫股运动也具有典型的三维运动特点。其中在屈膝初期的30°内,胫骨内旋最明显并伴有胫骨内翻现象,平均内旋8°,内翻6-7mm,膝关节完全伸直时胫股扣锁使膝关节稳定,屈曲时胫股“解锁”使膝关节松弛,具重要的临床意义,同时提示,在解释传统的胫股扣锁现象时不应遗漏伴随发生的胫骨内/外翻现象。  相似文献   
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号