全文获取类型
收费全文 | 1357篇 |
免费 | 52篇 |
国内免费 | 11篇 |
专业分类
耳鼻咽喉 | 240篇 |
儿科学 | 15篇 |
基础医学 | 118篇 |
口腔科学 | 273篇 |
临床医学 | 147篇 |
内科学 | 14篇 |
皮肤病学 | 3篇 |
神经病学 | 11篇 |
特种医学 | 136篇 |
外科学 | 101篇 |
综合类 | 157篇 |
预防医学 | 23篇 |
眼科学 | 1篇 |
药学 | 62篇 |
2篇 | |
中国医学 | 5篇 |
肿瘤学 | 112篇 |
出版年
2023年 | 15篇 |
2022年 | 39篇 |
2021年 | 51篇 |
2020年 | 33篇 |
2019年 | 32篇 |
2018年 | 54篇 |
2017年 | 42篇 |
2016年 | 39篇 |
2015年 | 45篇 |
2014年 | 93篇 |
2013年 | 63篇 |
2012年 | 98篇 |
2011年 | 90篇 |
2010年 | 73篇 |
2009年 | 96篇 |
2008年 | 74篇 |
2007年 | 70篇 |
2006年 | 62篇 |
2005年 | 34篇 |
2004年 | 48篇 |
2003年 | 29篇 |
2002年 | 24篇 |
2001年 | 34篇 |
2000年 | 11篇 |
1999年 | 22篇 |
1998年 | 11篇 |
1997年 | 14篇 |
1996年 | 4篇 |
1995年 | 7篇 |
1994年 | 6篇 |
1993年 | 6篇 |
1992年 | 7篇 |
1991年 | 10篇 |
1990年 | 5篇 |
1989年 | 9篇 |
1988年 | 4篇 |
1987年 | 4篇 |
1986年 | 2篇 |
1985年 | 5篇 |
1984年 | 6篇 |
1982年 | 7篇 |
1981年 | 12篇 |
1980年 | 4篇 |
1979年 | 4篇 |
1978年 | 2篇 |
1977年 | 6篇 |
1976年 | 3篇 |
1975年 | 3篇 |
1973年 | 2篇 |
1967年 | 3篇 |
排序方式: 共有1420条查询结果,搜索用时 15 毫秒
1.
目的利用腮腺显像研究鼻咽癌放疗后腮腺的摄取与排泄功能.方法48例鼻咽癌患者中,对38例肿瘤和肿大淋巴结行加速调强放疗(SMART),其亚临床灶和预防照射区接受常规照射;余10例行常规放疗.放疗前后均行腮腺显像,计算腮腺的放射性摄取指数(UI)及酸性刺激后排泌指数(EI),对腮腺功能损伤情况进行分析;同时记录患者口干程度并分级.结果鼻咽癌SMART组放疗后腮腺UI和EI分别下降21.9%和37.3%,中重度口干者12例;而常规放疗组腮腺功能明显下降,UI和EI分别下降56.1%和96.1%,中重度口干者9例,两者比较差异均有显著性(P<0.05).结论腮腺显像可灵敏地监测鼻咽癌放疗后腮腺功能. 相似文献
2.
目的:探讨磁共振成像检查对腮腺多形性腺瘤与沃辛瘤的鉴别诊断价值。方法:回顾分析经病理证实的8例腮腺多形性腺瘤及10例腮腺沃辛瘤的磁共振成像检查表现,并作统计学处理。结果:腮腺多形性腺瘤为单侧腮腺单发病灶(8/8),沃辛瘤可单侧单发(5/10),亦可双侧或多发(5/10)(P<0.05);沃辛瘤多位于腮腺浅叶(13/17),腮腺多形性腺瘤可位于浅叶(6/8),亦可位于深叶或占据深浅叶(2/8)(P<0.05);多形性腺瘤在T2WI中以高信号多见(5/8),沃辛瘤以等信号或低信号为主(17/17)(P<0.05);性别分布上腮腺多形性腺瘤女性多见(6/8),沃辛瘤男性多见(7/10)(P<0.05);年龄分布上沃辛瘤为50岁以上者多见(6/10),多形性腺瘤中50岁以上与50岁以下者分布相近,各为4例(P<0.01)。结论:磁共振成像检查的特征表现和临床资料相结合对腮腺多形性腺瘤与沃辛瘤可正确诊断。 相似文献
3.
Hamartoma of the parotid gland: A case report with immunohistochemical and electron microscopic study 总被引:1,自引:0,他引:1
Hitoshi Tsuda Shojiroh Morinaga Kiyoshi Mukai Takashi Nakajima Yukio Shimosato Tsuyoshi Kaneko Satoshi Ebihara 《Virchows Archiv : an international journal of pathology》1987,411(5):473-478
Summary A case of a solid parotid tumour in a 16-year-old boy is presented. Histologically, the tumour demonstrated some peculiar findings. An acinar pattern was predominant although every component seen in the normal salivary gland was present, namely, serous and mucous gland acini, ducts, myoepithelial cells, adipose and lymphoid tissue. Large eosinophilic granules were abundant in the large acinar cell cytoplasm. Immunohistochemically, the tumour demonstrated the proteins which are present in the normal parotid gland, for example, amylase, lactoferrin and lysozyme. Electron microscopic features were quite similar to those of normal parotid tissue except for accumulation of a large number of cytoplasmic granules in the acinar cells. There has been no previous report of a tumour with the same features as seen in this case. Our pathological diagnosis is hamartoma, although the possibility of hyperplasia or neoplasia can not be excluded. 相似文献
4.
目的:结合文献探讨腮腺导管癌的临床病理特征。方法:报道1例腮腺导管癌,就本病的临床生物学特征、病理、治疗及预后进行总结分析。结果:经手术及放疗后3个月复查,出现同侧颈部淋巴结转移。结论:腮腺导管癌是一类恶性度很高的恶性肿瘤,诊断主要依靠术后病理学及免疫组织化学检查,以局部广泛切除加颈廓清术为主,术后给予放疗。 相似文献
5.
Somak Roy Kajal Kiran Dhingra Parul Gupta Nita Khurana Bulbul Gupta Ravi Meher 《Head and neck pathology》2009,3(2):163-168
Primary salivary gland carcinoma with neuroendocrine differentiation is of rare occurrence, especially so in the parotid gland.
Amongst the various reported primary tumors with neuroendocrine differentiation, acinic cell carcinoma (ACC) one such tumor.
A 48 year old lady presented with a gradually increasing right infra-auricular swelling for a period of 1 year which enlarged
suddenly in a short period. Contrast Enhanced Computed Tomography (CECT) suggested diagnosis of Pleomorphic Adenoma. Fine
Needle Aspiration Cytology (FANC) yielded a cystic fluid suggesting a possibility of Warthin’s tumor or Oncocytic lesion.
Intraoperative findings were suggestive of a Warthin’s tumor. Initial histopathological examination of the tumor was suggestive
of neuroendocrine carcinoma. However, extensive sectioning revealed peripheral islands of ACC. Immunoexpression of S-100,
Neuron specific Enolase (NSE), Chromogranin A and Synaptophysin confirmed the diagnosis. The possibility of neuroendocrine
differentiation in a primary salivary gland tumor should be kept in mind whenever a salivary gland tumor shows only neuroendocrine
histology. 相似文献
6.
腮腺间隙良性肿瘤的MRI诊断 总被引:1,自引:0,他引:1
目的探讨腮腺间隙常见良性肿瘤的影像特征及其诊断与鉴别诊断。方法良性肿瘤20例,包括多形性腺瘤13例、乳头状淋巴囊腺瘤3例、淋巴管瘤2例、血管瘤1例、脂肪瘤1例。经手术病理证实15例,穿刺活检证实4例,典型MR特征结合病史确诊1例。结果13例多形性腺瘤中有11例位于腮腺浅叶,2例位于深叶;9例表现为均匀等T1长T2信号.4例在T2WI上信号明显不均匀;静脉注射Gd—UIPA后3例瘤实质均匀强化,4例增强后明显不均匀强化。3例Warthin瘤中2例发生于一侧,1例累及双侧腮腺,在T1WI上呈低信号,T2WI上信号等于或低于正常腺实质,增强后无明显强化。2例淋巴管瘤呈明显长T1长T2信号,并有多房现象。1例血管瘤信号不均质,呈明显长T1长T2信号,静1脉注射Gd—DTPA后病变往往显著异常强化。1例脂肪瘤在T1WI及T2WI上均表现为明显高信号强度。结论运用MR成像研究腮腺间隙的良性肿瘤,有利于疾病的定位,有助于病变的诊断与鉴别诊断。 相似文献
7.
数字化曲面全景X线系统造影在腮腺非肿瘤类疾病诊断中的应用 总被引:1,自引:0,他引:1
目的 本文报告普通X线机腮腺造影与数字化曲面X线机腮腺造影结果及其对比应用。方法 用3种不同的X线机对 3组腮腺非肿瘤类疾病患者进行腮腺造影 ,第 1组患者 10人应用普通 30 0mAX线机 ,第 2组患者 10人应用普通曲面全景X线机 ,第 3组患者 36人应用数字化曲面全景X线系统一套 ,分别行造影检查。结果腮腺造影侧位投照第 2组与第 1组末梢导管及腺泡有显著差异 (P <0 .0 5 ) ,第 3组与第 1组末梢导管及腺泡无显著差异 (P >0 .0 5 ) ,腮腺造影后前位投照第 2组与第 1、3组之间有显著差异 (P <0 .0 5 )。结论 本研究对比了 3种X线投照技术在腮腺非肿瘤性疾病造影诊断中的效果 ,用数字化曲面全景X线系统造影在诊断此类疾病中显示出较好的效果。 相似文献
8.
Clear-cell lesions of the parotid gland are uncommon but when studied by fine-needle aspiration may result in a clinically important but cytologically difficult differential diagnosis. Clear-cell lesions involving the parotid include acinic cell neoplasm, clear cell oncocytoma, mucoepidermoid carcinoma, primary clear-cell carcinoma, epithelial-myoepithelial carcinoma, and metastatic renal cell carcinoma. Accurate diagnosis is achieved by assessment of nuclear features, other cell populations present, and clinical data including radiographic studies. 相似文献
9.
We have studied 3 cases of sarcoidosis involving the parotid gland by means of fine-needle aspiration cytology (FNAC). The main findings were noncaseating granulomas, multinucleated giant cells (MGCs), and lymphocytes. In one case MGCs contained asteroid bodies and in another case we observed calcium oxalate crystals (COCs) over both stromal fragments and MGCs. Although nonpathognomonic for sarcoidosis, these 2 findings may help in the diagnosis of this condition. However, both are easily overlooked and must be borne in mind when viewing noncaseating granulomas. Sarcoid granulomas displaying COC must be differentiated from foreign-body granulomas. The aforementioned cytological findings must be assessed in conjunction with clinical findings. Nevertheless, in most cases the diagnosis of sarcoidosis is made by exclusion. 相似文献
10.
This report details the fine-needle aspiration biopsy (FNAB) cytomorphologic features of two cases of salivary gland mycosis. Both patients had acquired immunodeficiency syndrome (AIDS) and presented with parotid gland masses. The first patient had Histoplasmosis with secondary infection by Candida. Cytopathologically, the FNAB smears showed classic features of a deep-seated mycosis characterized by necrosis and scattered fungal forms. The second patient had a colonizing sialadenitis caused by either Asperigillus or Fusarium. Cytopathologically, the findings were similar to those seen in aspergillomas of the lung orparanasal sinuses with numerous hyphal forms and an absence of an inflammatory response. Because mycotic disease can induce a wide spectrum of pathogenic change, other benign or malignant, solid or cystic lesions enter into the differential diagnosis. Diagn Cytopathol 1994; 11:286–290. © 1994 Wiley-Liss, Inc. 相似文献