全文获取类型
收费全文 | 19500篇 |
免费 | 1047篇 |
国内免费 | 467篇 |
专业分类
耳鼻咽喉 | 1篇 |
儿科学 | 12篇 |
妇产科学 | 9篇 |
基础医学 | 1438篇 |
口腔科学 | 107篇 |
临床医学 | 2035篇 |
内科学 | 705篇 |
皮肤病学 | 29篇 |
神经病学 | 166篇 |
特种医学 | 1154篇 |
外国民族医学 | 1篇 |
外科学 | 11663篇 |
综合类 | 1913篇 |
预防医学 | 296篇 |
眼科学 | 2篇 |
药学 | 522篇 |
8篇 | |
中国医学 | 875篇 |
肿瘤学 | 78篇 |
出版年
2024年 | 81篇 |
2023年 | 736篇 |
2022年 | 1223篇 |
2021年 | 1549篇 |
2020年 | 1422篇 |
2019年 | 1204篇 |
2018年 | 1163篇 |
2017年 | 1274篇 |
2016年 | 658篇 |
2015年 | 621篇 |
2014年 | 1670篇 |
2013年 | 1574篇 |
2012年 | 978篇 |
2011年 | 1108篇 |
2010年 | 841篇 |
2009年 | 789篇 |
2008年 | 698篇 |
2007年 | 717篇 |
2006年 | 516篇 |
2005年 | 345篇 |
2004年 | 302篇 |
2003年 | 245篇 |
2002年 | 160篇 |
2001年 | 146篇 |
2000年 | 125篇 |
1999年 | 138篇 |
1998年 | 100篇 |
1997年 | 98篇 |
1996年 | 75篇 |
1995年 | 66篇 |
1994年 | 49篇 |
1993年 | 34篇 |
1992年 | 34篇 |
1991年 | 35篇 |
1990年 | 15篇 |
1989年 | 19篇 |
1988年 | 16篇 |
1987年 | 19篇 |
1986年 | 12篇 |
1985年 | 19篇 |
1984年 | 20篇 |
1983年 | 24篇 |
1982年 | 19篇 |
1981年 | 15篇 |
1980年 | 4篇 |
1979年 | 8篇 |
1978年 | 12篇 |
1977年 | 14篇 |
1976年 | 13篇 |
1975年 | 10篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
11.
三维骨建模在全膝关节置换术中韧带平衡的作用 总被引:3,自引:3,他引:0
吴昊 《中国修复重建外科杂志》2006,20(6):607-610
目的探讨以三维骨建模为基础、无需影像的计算机辅助系统在人工全膝关节置换术(totalknee arthroplasty,TKA)中韧带平衡的作用。方法2002年11月~2003年6月,采用后稳定型人工全膝关节,在Ceravision无需影像资料的三维骨建模系统导航监控下,辅助完成TKA21例。男5例,女16例,年龄64~79岁,平均72.4岁。其中2例既往行胫骨近端截骨术,1例行股骨远端截骨术。14例膝内翻,7例膝外翻。术前下肢全长X线正位片测量,内翻13°~外翻13°,平均2.36°;膝关节X线正位片测量,应力下内翻平均8.47°(内翻2°~内翻20°),应力下外翻平均3.63°(内翻7°~外翻12°)。结果术中导航系统测量,额面内翻12°~外翻10°,平均3.33°,与术前比较差异有统计学意义(P<0.05);额面应力下内翻平均6.47°(内翻0°~内翻24°),应力下外翻平均4.32°(内翻8°~外翻15°),与术前比较差异有统计学意义(P<0.05)。术毕导航系统测得膝内外翻平均0.175°(内翻2°~外翻3°),而术后下肢全长X线正位片测量平均0.3°(内翻3.5°~外翻1.5°),二者差异无统计学意义(P>0.05)。术后3个月关节活动度为105~130°,平均115°,膝关节额面松弛度0.2~0.5cm,平均0.27cm。人工膝关节胫、股骨假体取得满意的对位置入和韧带平衡,无关节失稳和髌骨脱位等并发症发生。结论以三维骨建模为基础、无需影像的Ceravision系统,具有三维立体定位、优化截骨,并通过旋转对位和韧带松解获得伸屈膝关节等距间隙与韧带平衡稳定的作用,近期临床疗效满意,可在TKA中常规使用。 相似文献
12.
13.
目的研究云南白药在围术期对全髋关节置换术术中出血量及术后引流量的影响。方法2006至2008年我科收治的股骨颈骨折行全髋关节置换术60例,随机分成两组,分别服用云南白药胶囊和空胶囊;术前术后测定凝血酶原时间(PT),记录全部病人术中出血量及术后24 h引流量。结果实验组和对照组病人的凝血酶原时间(PT)差异有统计学意义(P<0.01);试验组的术中出血量、术后24 h引流量分别为(380±78)ml(、336±77)ml,较对照组(481±77)ml(、418±68)ml明显减少,差异具有统计学意义(P<0.01)。结论云南白药胶囊能够明显减少全髋关节置换术围术期出血量。 相似文献
14.
M. Innocenti R. Civinini M. Villano C. Carulli E. Pratelli 《Journal of orthopaedics and traumatology》2007,8(2):106-109
Unicompartmental knee arthroplasty (UKA) is considered the treatment of choice in patients with single compartment arthritis
of the knee at early stages or with osteonecrosis limited to one compartment. However, results in the literature are still
controversial and it is a technically difficult procedure. The main goal of UKA is to restore the articular space of the afflicted
compartment, without influencing the limb alignment. Selection of patients and pre-operative planning are crucial. The necessity
to improve functional results and to reduce immobilization of the patients has led to the development of minimally invasive
surgery. Applied to UKA, this approach reduces blood loss and surgical time, causes fewer symptomatic postoperative complications,
and permits earlier recovery compared to the traditional incision. The shorter incision makes careful pre-operative planning
essential. We briefly review the indications for UKA, the pre-operative clinical and radiological assessment, and the surgical
procedure.
Proocedings of the Consensus Conference “TSS in hip and knee replacement” (Rapallo, Italy 22–24 June 2006) 相似文献
15.
François Lavigne P. Culpan T. Judet P. Piriou 《European journal of orthopaedic surgery & traumatology : orthopedie traumatologie》2009,19(5):321-325
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
16.
17.
C. Delaunay 《Interactive Surgery》2007,2(3-4):174-177
Assessment of possible low-wear with some former metal-on-metal (MoM) total hip arthroplasties (THA) led to the reintroduction
of metallic bearings in the late 80’s. The author reports on two studies of Metasul-28 mm cementless THA. In the first one
in a general population, impingement has been the main cause of osteolysis and Co level survey has been a good indicator of
Metasul bearing behaviour. In the second study, in a group of 83 less than 50-year-old and active patients, Metasul bearings
showed good wear resistance at 7.2 years mean follow-up. In both studies, no general toxic effect could have been detected
thus far. According to the current knowledge, it is always reasonable to expect low-wear and better THA longevity with use
of MoM bearings under the following conditions: 1) use of a CoCr alloy with high carbide concentration; 2) reduce impingement
risk (head without sleeve, slimmer as possible neck, perfectly adapted Morse cone from the same manufacturer, well — oriented
components); and 3) prefer cementless acetabular fixation. 相似文献
18.
[目的]研究膝以下严重开放性创伤的修复。[方法]自1995年3月~2005年3月收治膝以下严重开放性损伤153例,Ⅰ期修复106例,Ⅱ期修复47例,7种内固定方法,11种皮瓣修复方法。[结果]153例中随访132例,时间6个月~5年,平均17个月,术后功能优良率85.7%,皮瓣成活率良好。皮瓣局部坏死25例,骨不连4例,慢性感染8例,骨髓炎3例。[结论]改进的腓肠神经营养血管皮瓣和皮瓣桥手术扩大了皮瓣的应用范围,减少了并发症的发生。本研究为膝以下严重开放性损伤的修复提供了良好的方法;熟练的显微外科技术和各种组织瓣的合理应用是修复成功的关键。 相似文献
19.
Peter A. Blume DPM FACFAS J. Christopher Moore DPM David C. Novicki DPM FACFAS 《The Journal of foot and ankle surgery》2005,44(1):44-48
There are a number of proposed causes and treatment approaches for digital mucoid cysts. The described treatment outcomes for this cyst have been variable, with the highest success rate reported with complete excision and single-lobe skin flap closure. This report describes a bilobed flap reconstruction in conjunction with resection of the head of the middle phalanx. A retrospective review was undertaken to evaluate the recurrence rate, complications, and patient satisfaction with this combined procedure. Fifteen patients with an average follow-up of 4.6 years were evaluated. There were no recurrences, flap failures, or other major complications. The use of this flap allows for greater exposure than traditional semi-elliptical incisions while allowing the wide excisional defects to be closed primarily. 相似文献
20.