全文获取类型
收费全文 | 11757篇 |
免费 | 495篇 |
国内免费 | 177篇 |
专业分类
耳鼻咽喉 | 583篇 |
儿科学 | 41篇 |
妇产科学 | 30篇 |
基础医学 | 818篇 |
口腔科学 | 1112篇 |
临床医学 | 479篇 |
内科学 | 204篇 |
皮肤病学 | 137篇 |
神经病学 | 116篇 |
特种医学 | 333篇 |
外国民族医学 | 2篇 |
外科学 | 5581篇 |
综合类 | 1581篇 |
预防医学 | 156篇 |
眼科学 | 504篇 |
药学 | 385篇 |
5篇 | |
中国医学 | 64篇 |
肿瘤学 | 298篇 |
出版年
2024年 | 25篇 |
2023年 | 187篇 |
2022年 | 286篇 |
2021年 | 382篇 |
2020年 | 436篇 |
2019年 | 327篇 |
2018年 | 347篇 |
2017年 | 309篇 |
2016年 | 313篇 |
2015年 | 303篇 |
2014年 | 680篇 |
2013年 | 771篇 |
2012年 | 686篇 |
2011年 | 725篇 |
2010年 | 600篇 |
2009年 | 555篇 |
2008年 | 564篇 |
2007年 | 628篇 |
2006年 | 566篇 |
2005年 | 479篇 |
2004年 | 440篇 |
2003年 | 344篇 |
2002年 | 323篇 |
2001年 | 287篇 |
2000年 | 273篇 |
1999年 | 273篇 |
1998年 | 213篇 |
1997年 | 198篇 |
1996年 | 144篇 |
1995年 | 129篇 |
1994年 | 114篇 |
1993年 | 63篇 |
1992年 | 75篇 |
1991年 | 51篇 |
1990年 | 51篇 |
1989年 | 64篇 |
1988年 | 47篇 |
1987年 | 31篇 |
1986年 | 44篇 |
1985年 | 21篇 |
1984年 | 18篇 |
1983年 | 7篇 |
1982年 | 11篇 |
1981年 | 6篇 |
1980年 | 13篇 |
1979年 | 6篇 |
1977年 | 8篇 |
1975年 | 2篇 |
1974年 | 1篇 |
1973年 | 1篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
21.
Lee L. Q. Pu 《European journal of plastic surgery》2007,30(1):19-24
A soleus flap as a local reconstructive option for soft-tissue coverage of a tibial wound in the distal third of the leg has
never been well recognized. In a 2-year period, seven patients underwent reconstruction of a less extensive tibial wound (4 × 3
to 10 × 4 cm) in the distal third of the leg after orthopedic trauma with the laterally extended medial hemisoleus flap. The
flap was elevated with emphasis on the preservation of the most distal perforators from the posterior tibial vessels to the
flap as possible while allowing adequate rotation of the flap to cover the exposed tibia and/or hardware and on the possible
preservation of foot planter flexion by reconstruction of the proximal Achilles’ tendon. In this series, there was no total
or partial flap loss. All patients healed their tibial wounds primarily with reliable soft-tissue coverage, evidenced fracture
healing, and good cosmetic outcome during follow-up. Thus, the laterally extended medial hemisoleus flap described by the
author can be a reliable option for soft-tissue coverage of a less extensive tibial wound in the distal third of the leg.
It offers a more cost-effective approach for managing this unique problem and can be performed by most reconstructive surgeons
without microsurgical expertise. 相似文献
22.
D. Chattar-Cora R. Perez-Nieves A. McKinlay M. Kunasz R. C. Lyons 《European journal of plastic surgery》2007,29(5):221-226
Free tissue transfer has been demonstrated to be an effective modality of treating a variety of wounds and conditions in the
civilian population. The use of these procedures has been underreported by American military surgeons. Military surgeons face
unique hurdles that make the effective performance of these procedures difficult. We report our experience with free flap
reconstruction at an American Army medical center. We performed 44 free flaps in 38 patients; although operative times and
hospital length of stay were comparatively long, our success rates were excellent with only one partial flap loss.
The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or
reflecting the views of the Department of the Army or the Department of Defense. 相似文献
23.
S. A. R. Nouraei C. B. Singh M. S. Ferguson K. Young D. Roy J. M. Philpott 《European journal of plastic surgery》2007,30(4):153-157
The objective of this study is to assess the results of repairing septal perforations with a vascularized pedicled alar cartilage
island flap. Using the external rhinoplasty approach, a vascularized flap of alar cartilage, harvested as a cephalic trim
and pedicled on the ascending columellar branches of the superior labial artery was raised. Bilateral mucoperichondrial septal
flaps were elevated and the alar flap was transposed and secured within the defect and bilaterally overlaid with temporalis
fascia. Silastic sheets were placed and remained in situ until the grafts were revascularized from the peripheries of the
defect as well as centrally from the alar flap. The revascularized temporalis fascia acted as a scaffold for nasal remucosalization.
The alar flap also increased the long-term structural robustness of the repair. Between 1999 and 2003, 14 patients with septal
perforations ranging from 10 to 31 mm underwent septal reconstruction using this technique. There were nine males and five
females. The flap was successfully raised in all cases and long-term closure was maintained in 12 patients (86%). The alar
cartilage flap is an effective technique for repairing septal perforations in selected patients. It provides vascularized
tissue which nourishes the grafts during remucosalization, and a cartilaginous framework, which affords long-term structural
support to the repair. It also obviates the need to transpose nasal mucosa and create a secondary defect. The rhinoplasty
approach furthermore permits additional nasal deformities to be corrected at the same time.
Presented at the British Association of Plastic Surgeons Summer Scientific Meeting, Sheffield, UK (12 July 2006). 相似文献
24.
自1999年1月-2005年3月,应用胫前肌瓣修复胫骨骨髓炎合并软组织缺损13例,同时辅以中药治疗,获得较满意的效果,现报告如下。1临床资料本组13例,男9例,女4例;年龄1867岁,平均32岁。致伤原因:车祸伤6例,挤压伤4例,烧伤1例,坠落伤2例。胫骨上1/3段1例,中1/3段2例,下1/3段5例,中下2/3段5例。病程12d30个月,外露骨有干燥、硬化、发白、变黑,周围有肉芽、瘢痕组织、脓性分泌物等。外露骨纵形长0·68·0cm,皮肤缺损面积最大为4cm×10cm。2治疗方法2·1手术方法在硬膜外麻醉下,股部上止血带,术区常规消毒。首先切除溃疡及外露胫骨周围瘢痕,清除髓腔内分泌物及 相似文献
25.
刘达恩 《中国修复重建外科杂志》1997,11(2):83-85
总结胸腹轴型皮瓣早期修复上肢不同部位的深度蛇伤溃疡的经验,评价其应用价值。本组16例,胸脐皮瓣2例,侧胸腹皮瓣1例,髂腰皮瓣5例,下腹皮瓣6例,下腹分叶皮瓣1例,髂腰加下腹Y形皮瓣1例。术后1例皮瓣远端坏死,3例轻度感染,16例断蒂后全部成活。随访3个月~7年,皮瓣质地和弹性均好,手功能基本恢复。认为,带蒂胸腹轴型皮瓣是修复上肢深度蛇伤溃疡理想的方法。 相似文献
26.
真皮下血管网岛状皮瓣抗菌力的实验研究 总被引:2,自引:0,他引:2
为研究真皮下血管网薄皮瓣用于感染创面的可行性,在家猪臀部两侧分别形成以旋髂深血管主干分支为蒂的传统岛状皮瓣和远侧50%修薄的真皮下血管网岛状皮瓣。用细菌计数、吖啶橙荧光染色测定白细胞吞噬指数和白细胞内杀菌率,应用激光多普勒、墨汁灌注、透明标本等方法,对两种皮瓣的抗菌力作自身对照研究。结果表明,真皮下血管网岛状皮瓣的抗菌力明显降低,可能与皮瓣修薄后血供减少,白细胞功能相应降低有关。 相似文献
27.
R. K. Gang 《European journal of plastic surgery》1986,8(4):199-202
Summary One stage reconstruction of the anterior axillary fold, in a case of severe post-burn axillary contracture, with the island latissimus dorsi musculocutaneous flap is described. Postoperatively the patient had a full range of active abduction and a good cosmetic result. 相似文献
28.
Summary A randomized prospective study was performed to compare the results of filtering surgery using a Limbusbased versus a Fornix-based conjunctival flap. The wound closure of the Fornix-based flap was performed using a running 10/0 nylon suture at the limbus. No statistical significant difference of IOP regulation was found between the two groups. There was a tendency of reduced occurrence of shallow anterior chamber and of less vascularized filtering blebs in the Fornix-based technique. 相似文献
29.
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
30.