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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">milmed</journal-id><journal-title-group><journal-title xml:lang="ru">Военная медицина</journal-title><trans-title-group xml:lang="en"><trans-title>Military Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2074-5044</issn><publisher><publisher-name>Белорусский государственный медицинский университет</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51922/2074-5044.2026.4.121</article-id><article-id custom-type="elpub" pub-id-type="custom">milmed-810</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>В ПОМОЩЬ ВОЙСКОВОМУ ВРАЧУ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>TO HELP THE MILITARY DOCTOR</subject></subj-group></article-categories><title-group><article-title>Консервативное лечение мочекаменной болезни у военнослужащих на амбулаторно-поликлиническом этапе</article-title><trans-title-group xml:lang="en"><trans-title>Our experience in conservative treatment of urolithiasis in military personnel at the outpatient polyclinic stage</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Курленко</surname><given-names>Р. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Kurlenko</surname><given-names>R. N.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Забелин</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zabelin</surname><given-names>D. V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Литвишко</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Litvishko</surname><given-names>A. A.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Стриго</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Strigo</surname><given-names>A. V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сафронов</surname><given-names>М. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Safronov</surname><given-names>M. O.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Иссарь</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Stegacheva</surname><given-names>R. M.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Стегачева</surname><given-names>Р. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Issar</surname><given-names>A. V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Курленко</surname><given-names>Н. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Kurlenko</surname><given-names>N. R.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>Хирургический отдел войсковой части 1017</institution><country>Belarus</country></aff><aff xml:lang="ru" id="aff-2"><institution>ГУ «Центральная военно-врачебная комиссия Вооруженных Сил Республики Беларусь»</institution><country>Belarus</country></aff><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>27</day><month>10</month><year>2026</year></pub-date><volume>0</volume><issue>4</issue><fpage>121</fpage><lpage>124</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Курленко Р.Н., Забелин Д.В., Литвишко А.А., Стриго А.В., Сафронов М.О., Иссарь А.В., Стегачева Р.М., Курленко Н.Р., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Курленко Р.Н., Забелин Д.В., Литвишко А.А., Стриго А.В., Сафронов М.О., Иссарь А.В., Стегачева Р.М., Курленко Н.Р.</copyright-holder><copyright-holder xml:lang="en">Kurlenko R.N., Zabelin D.V., Litvishko A.A., Strigo A.V., Safronov M.O., Stegacheva R.M., Issar A.V., Kurlenko N.R.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://milmed.ejournal.by/jour/article/view/810">https://milmed.ejournal.by/jour/article/view/810</self-uri><abstract><p>Вопросы лечения мочекаменной болезни являются одной из главных тем современной урологии. Совершенствование медицинского инструментария, широкое применение различных методик лечения МКБ способствуют активной и эффективной фрагментации камней, но иногда ведут к множественному образованию мелких осколков конкрементов, которые могут привести к обструкции мочевых путей.  В этой связи приоритетное значение приобретает литокинетическая терапия. Авторами статьи представлены собственные результаты проведения комплексной литокинетической терапии, позволившая добиться в 81,3 % случаев самостоятельного отхождения мочевых конкрементов, повысить эффективность изгнания камней из мочеточника, уменьшить интенсивность почечной колики, снизить количество потребляемых анальгетиков и уменьшить потребность в выполнении хирургических манипуляций и операций.</p></abstract><trans-abstract xml:lang="en"><p>The treatment of urolithiasis is one of the main topics in modern urology. The improvement of medical tools and the widespread use of various high-tech methods for treating urolithiasis contribute to the active and effective fragmentation of stones,but often lead to the formation of multiple small fragments that can cause obstruction of the urinary tract. In this context, lithotripsy therapy becomes a priority. The authors of the article present their own results of complex litokinetic therapy, which made it possible to achieve independent discharge of urinary calculi in 81.3 % of cases, increase the effectiveness of expelling stones from the ureter, reduce the intensity of renal colic, reduce the amount of analgesics consumed and reduce the need for surgical procedures and operations.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>мочекаменная болезнь</kwd><kwd>заболеваемость</kwd><kwd>литокинетическая терапия</kwd><kwd>уретеролитоэкстракция</kwd></kwd-group><kwd-group xml:lang="en"><kwd>urolithiasis</kwd><kwd>incidence</kwd><kwd>lithokinetic therapy</kwd><kwd>ureterolithoextraction</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Вощула, В. И. 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