全文获取类型
收费全文 | 1508篇 |
免费 | 100篇 |
国内免费 | 7篇 |
专业分类
耳鼻咽喉 | 4篇 |
儿科学 | 66篇 |
妇产科学 | 48篇 |
基础医学 | 218篇 |
口腔科学 | 31篇 |
临床医学 | 121篇 |
内科学 | 298篇 |
皮肤病学 | 13篇 |
神经病学 | 94篇 |
特种医学 | 51篇 |
外科学 | 312篇 |
综合类 | 24篇 |
一般理论 | 1篇 |
预防医学 | 103篇 |
眼科学 | 53篇 |
药学 | 110篇 |
中国医学 | 8篇 |
肿瘤学 | 60篇 |
出版年
2024年 | 3篇 |
2023年 | 13篇 |
2022年 | 38篇 |
2021年 | 55篇 |
2020年 | 30篇 |
2019年 | 42篇 |
2018年 | 60篇 |
2017年 | 39篇 |
2016年 | 53篇 |
2015年 | 52篇 |
2014年 | 63篇 |
2013年 | 77篇 |
2012年 | 85篇 |
2011年 | 135篇 |
2010年 | 78篇 |
2009年 | 76篇 |
2008年 | 91篇 |
2007年 | 72篇 |
2006年 | 80篇 |
2005年 | 51篇 |
2004年 | 70篇 |
2003年 | 57篇 |
2002年 | 48篇 |
2001年 | 37篇 |
2000年 | 19篇 |
1999年 | 24篇 |
1998年 | 14篇 |
1997年 | 10篇 |
1996年 | 9篇 |
1995年 | 7篇 |
1994年 | 9篇 |
1993年 | 3篇 |
1992年 | 22篇 |
1991年 | 14篇 |
1990年 | 13篇 |
1989年 | 16篇 |
1988年 | 8篇 |
1987年 | 4篇 |
1986年 | 3篇 |
1985年 | 3篇 |
1984年 | 5篇 |
1983年 | 7篇 |
1982年 | 2篇 |
1981年 | 6篇 |
1980年 | 3篇 |
1978年 | 3篇 |
1976年 | 1篇 |
1974年 | 1篇 |
1971年 | 1篇 |
1967年 | 2篇 |
排序方式: 共有1615条查询结果,搜索用时 15 毫秒
41.
Faris S. Azzouni Rakeeba Din Shabnam Rehman Aabroo Khan Yi Shi Andrew Stegemann Mohammad Sharif Gregory E. Wilding Khurshid A. Guru 《European urology》2013
Background
Robot-assisted radical cystectomy (RARC) has evolved over the last few years to become an acceptable alternative option to open radical cystectomy. Most series of RARC used an open approach to urinary diversion. Even though robot-assisted intracorporeal urinary diversion (RICUD) is the natural extension of RARC, few centers have reported their experiences with RICUD in general, and in particular, of robot-assisted intracorporeal ileal conduits (RICIC).Objective
To report our experience with RICIC using the Marionette technique.Design, setting, and participants
The first 100 consecutive patients who underwent RARC and RICIC, and had ≥3 mo of postoperative follow-up were included in this study. Patients were divided into four groups of 25 patients each to study the evolution of our surgical technique.Intervention
RICIC.Outcome measurements and statistical analysis
Intraoperative, pathologic, and 90-d postoperative outcomes for the four groups and the overall cohort were compared using the Fisher exact test (categorical variables) and the Kruskal-Wallis test (continuous variables). Continuous variables were reported as median (range) and categorical variables were specified as frequency (percentage).Results and limitations
Overall operative and specific diversion times were 352 and 123 min, respectively. Estimated blood loss was 300 ml, lymph node yield was 24, and positive surgical margin rate was 4%. Length of hospital stay increased from 7 d for group 1 to 9 d for group 4. The overall 90-d complication rate was 81%; 19% of complications were high grade. Infections were the most common complications, representing 31% of all complications. There were no statistically significant intergroup differences except in diversion time, intraoperative transfusions, and length of stay.Conclusions
RICIC diversion is safe, feasible, and reproducible. Larger series with longer follow-up are needed to validate the procedure and define its place in the minimally invasive urologic armamentarium. Quality of life studies need to be conducted to compare benefits of intracorporeal urinary diversion. 相似文献42.
43.
44.
Objective The basic erosive wear examination (BEWE) is a relatively new index proposed for the screening and recording of tooth wear in adults. The aim of this study was to test the validity and reliability of the BEWE.Design Cross sectional study of a sample of 164 adult patients.Setting General dental practice in East Lancashire, UK in 2010.Subjects Patients attending for routine examination or treatment.Main outcome measures By screening patients with the BEWE and comparing the results to the established tooth wear index (TWI) the sensitivity and specificity of the BEWE was established.Results The BEWE predicted moderate to severe wear (BEWE grade 3) with a sensitivity of 48.6% and a specificity of 96.1%, and predicted severe wear with a sensitivity of 90.9% and a specificity of 91.5% (also BEWE score 3). Inter- and intra-examiner reliability for the BEWE were both moderate (κ(w) = 0.43 and 0.57 respectively).Conclusion(s) BEWE scores show a similar distribution to TWI scores and the examination is an effective screening test for severe tooth wear. The moderate levels of examiner reliability suggests the BEWE scores should be interpreted with some caution. 相似文献
45.
Skeletal Radiology - 相似文献
46.
Skeletal Radiology - 相似文献
47.
Sharif Ismail Jonathan Duckett Diaa Rizk Olanrewaju Sorinola Dorothy Kammerer-Doak Oscar Contreras-Ortiz Hazem Al-Mandeel Kamil Svabik Mitesh Parekh Christian Phillips 《International urogynecology journal》2016,27(11):1619-1632
Introduction and hypothesis
This committee opinion paper summarizes available evidence about recurrent pelvic organ prolapse (POP) to provide guidance on management.Method
A working subcommittee from the International Urogynecological Association (IUGA) Research and Development Committee was formed. The literature regarding recurrent POP was reviewed and summarized by individual members of the subcommittee. Recommendations were graded according to the 2009 Oxford Levels of Evidence. The summary was reviewed by the Committee.Results
There is no agreed definition for recurrent POP and evidence in relation to its evaluation and management is limited.Conclusion
The assessment of recurrent POP should entail looking for possible reason(s) for failure, including persistent and/or new risk factors, detection of all pelvic floor defects and checking for complications of previous surgery. The management requires individual evaluation of the risks and benefits of different options and appropriate patient counseling. There is an urgent need for an agreed definition and further research into all aspects of recurrent POP.48.
Ahmed I. Ahmed Ling Zhu Sarah Aldhaheri Sharif Sakr Howard Minkoff Shoshana Haberman 《The journal of maternal-fetal & neonatal medicine》2016,29(20):3335-3339
Objectives: The objective of this study is to determine the incidence of uterine tachysystole and its association with spontaneous labor at term.Methods: A retrospective cohort study of 8008 women in spontaneous labor (without prostaglandins or oxytocin). Fetal heart tracings and uterine activity were recorded every 15?min. Primary outcome: occurrence of tachysystole (> 5 uterine contractions /10?min over 30?min periods). Secondary outcomes: non-reassuring fetal heart tracings (NRFHT), NICU admissions, and cesarean deliveries.Results: About 890 patients (11.1 %) had at least one episode of tachysystole. Non-whites have higher incidence of uterine tachysystole; adjusted odds ratio (aOR) was 1.66 for Hispanics (95% CI 1.28–2.05), 1.58 for African Americans (95% CI 1.05–2.38), and 1.51 for Asians (95% CI?=?1.13–2.0). The use of epidural analgesia was higher in the tachysystole group (62.2% versus 40.9%, aOR 1.89, CI 1.58–2.26; p?< 0.001). Tachysystole was more frequent among nulliparous women and in women carrying higher weight fetuses. Oligohydramnios (aOR 1.62, CI 0.70–3.72; p?<?0.004), and NRFHT were more common in the tachysystole group (4.2% versus 2.5%, p?=?0.002). Newborns in the tachysystole group were two times more likely to be admitted to NICU (30 /890 [3.4%] versus 122 /7118 [1.7%], OR?=?2, p=0.001). There was no difference in the frequency of meconium-stained amniotic fluid or Apgar scores <7 at 5?min.Conclusion: Uterine tachysystole occurs in more than 10% of spontaneous labors and is associated with NRFHR, increased rate of caesarean deliveries and NICU admissions. It is not associated with low Apgar scores or meconium-stained amniotic fluid. 相似文献
49.
50.