Article(id=1320381159226323750, tenantId=1146029695717560320, journalId=1319373289681944729, issueId=1320381076653060187, articleNumber=null, orderNo=null, doi=10.11876/mimt202602007, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=null, receivedDateStr=null, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1792732999855, onlineDateStr=2026-10-23, pubDate=1775750400000, pubDateStr=2026-04-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1792732999855, onlineIssueDateStr=2026-10-23, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1792732999855, creator=13701087609, updateTime=1792732999855, updator=13701087609, issue=Issue{id=1320381076653060187, tenantId=1146029695717560320, journalId=1319373289681944729, year='2026', volume='32', issue='2', pageStart='1', pageEnd='120', issueExtLink='null', onlineDate='null', pubDate='1775750400000', pubDateStr='2026-04-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1792732980168, creator='13701087609', updateTime=1792746330832, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1320437073467789517, tenantId=1146029695717560320, journalId=1319373289681944729, issueId=1320381076653060187, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1320437073467789518, tenantId=1146029695717560320, journalId=1319373289681944729, issueId=1320381076653060187, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=39, endPage=49, ext={EN=ArticleExt(id=1320381159415067431, articleId=1320381159226323750, tenantId=1146029695717560320, journalId=1319373289681944729, language=EN, title=Comparative study on the efficacy of CHIVA versus high ligation and stripping in the treatment of great saphenous vein varicosity and predictive model research, columnId=null, journalTitle=Modern Instruments & Medical Treatment, columnName=null, runingTitle=null, highlight=null, articleAbstract=
Objective This prospective cohort study comparatively analyzed perioperative parameters, safety profiles, and mid-term outcomes between conservative hemodynamic correction for venous insufficiency in ambulatory patients (CHIVA) and conventional high ligation and stripping (HLS) for great saphenous vein varicosities. A machine learning-based prognostic prediction model was developed to identify core factors influencing surgical efficacy.
Methods Using a prospective cohort design, 92 patients with primary great saphenous vein varicosities treated between January 2024 and November 2025 were enrolled and allocated to either the CHIVA group (n=32) or HLS group (n=60) based on surgical approach. The perioperative parameters, numerical rating sale (NRS) scores for pain, venous clinical severity score (VCSS), postoperative complications, and ultrasound-detected recurrence rates were systematicly recorded and compared between the two patient groups. By integrating patients' clinical characteristics with SHUNT classification, a multivariate logistic regression analysis combined with XGBoost machine learning technology was employed to establish and validate a preoperative predictive model for assessing treatment efficacy with the outcome defined as “postoperative VCSS improvement≥50%”.
Results The CHIVA group had a significantly shorter hospital stay compared to the HLS group [(4.44±1.85)d vs. (5.70±2.13)d, P=0.006)]. Postoperative resting NRS scores remained at low levels in both groups (P=0.498). However, the CHIVA group demonstrated significantly better improvements in VCSS (11.22±3.34 vs. 2.38±3.68, P<0.001) and improvement rates [(98.04±5.08)% vs. (23.87±31.97)%, P<0.001] than the HLS group. The incidence of saphenous nerve injury was significantly lower in the CHIVA group (3.1% vs. 46.7%, P<0.001). However, the incidence of superficial venous thrombosis was slightly higher (12.5% vs. 1.7%, P=0.029). After a follow-up period of (214.86±124.92) days, the overall ultrasound recurrence rate was 16.30% (15/92). Recurrence was significantly associated with CEAP C5 classification and SHUNT type III/V (P<0.001). Kaplan-Meier survival analysis showed that the cumulative non-recurrence probability was lower in the CHIVA group compared to the HLS group (Log-Rank χ2=4.954, P=0.026). The XGBoost prediction model achieved an AUC of 0.97 in the test set. SHAP feature importance analysis revealed that preoperative SHUNT classification was the strongest predictor of “clinically significant improvement” (VCSS improvement rate≥50%), followed by CEAP C5 classification and preoperative VCSS.
Conclusion The study indicates that compared with traditional high ligation and stripping (HLS), the CHIVA treatment approach can more significantly improve clinical symptoms in patients with great saphenous vein varicosity (as assessed by the VCSS evaluation system), while effectively reducing hospitalization duration and decreasing the incidence of saphenous nerve injury. The machine learning algorithm-based efficacy prediction system provides an innovative auxiliary tool for developing individualized treatment plans.
, authors=Xuan Huang, Minghui Gong, Qiuchi Li, Zhengdong Wan
*, authorsList=Xuan Huang, Minghui Gong, Qiuchi Li, Zhengdong Wan, authorCompany=null, correspAuthors=Zhengdong Wan, authorNote=null, correspAuthorsNote=null, copyrightStatement=
All copyrights in 2026 belong to the sponsor of the journal.Not content published by the journal may be reproduced or abridged without authorization., copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1320381159675114280, articleId=1320381159226323750, tenantId=1146029695717560320, journalId=1319373289681944729, language=CN, title=CHIVA与高位结扎剥脱术治疗大隐静脉曲张的疗效比较及预测模型研究, columnId=1320381058969883180, journalTitle=现代仪器与医疗, columnName=临床研究, runingTitle=null, highlight=null, articleAbstract=
目的 对比分析保守性血流动力学矫正术（conservative hemodynamic correction for venous insufficiency in ambulatory patients，CHIVA）与常规高位结扎剥脱术（high ligation and stripping，HLS）在治疗大隐静脉曲张过程中的围术期指标、安全性和中期疗效差异。同时，基于机器学习方法建立预后预测模型，以筛选影响手术疗效的核心因素。
方法 采用前瞻性队列研究方法，选取2024年1月至2025年11月医院收治的92例原发性大隐静脉曲张患者，根据手术方式分为CHIVA组（32例）和HLS组（60例）。系统记录并比较两组患者的围术期指标、疼痛数字评定量表（numerical rating sale，NRS）分值、静脉临床严重程度评分（venous clinical severity score，VCSS）、术后并发症及超声检查显示的复发情况。结合患者临床特征与SHUNT分型，采用多元Logistic回归分析联合XGBoost机器学习算法，建立并验证了术前预测“临床显著改善”（VCSS改善率≥50%）的模型。
结果 CHIVA组住院时间为（4.44±1.85）d，显著短于HLS组的（5.70±2.13）d（P=0.006）。术后静息NRS分值均维持低水平（P=0.498）。然而，CHIVA组VCSS改善值（11.22±3.34 vs. 2.38±3.68，P<0.001）及改善率[（98.04±5.08）% vs.（23.87±31.97）%，P<0.001]均显著优于HLS组。CHIVA组术后隐神经损伤发生率显著低于HLS组（3.1% vs. 46.7%，P<0.001），但浅静脉血栓发生率略高（12.5% vs. 1.7%，P=0.029）。经过（214.86±124.92）d的随访，总体超声复发率16.30%（15/92）。复发与CEAP C5级及SHUNT Ⅲ/Ⅴ型显著相关（P<0.001）。Kaplan-Meier生存分析显示CHIVA组累积未复发概率低于HLS组（Log-Rank χ2=4.954，P=0.026）。XGBoost预测模型在测试集中的AUC为0.97。SHAP特征重要性分析显示，术前SHUNT分型是预测“临床显著改善”（VCSS改善率≥50%）的最强因素，其次为CEAP C5级和术前VCSS。
结论 与HLS相比，CHIVA治疗方式能更显著地改善大隐静脉曲张患者的临床症状，同时有效缩短住院时间并降低隐神经损伤的发生率。基于机器学习算法构建的预测模型，可辅助个体化诊疗方案的制定。
, authors=黄璇, 龚明辉, 李秋池, 万正东
*, authorsList=黄璇, 龚明辉, 李秋池, 万正东, authorCompany=null, correspAuthors=万正东, authorNote=
黄璇，男，硕士研究生，主治医师，研究方向：血管外科
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万正东，男，硕士研究生，主任医师，研究方向：血管外科
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2026年版权归本刊主办单位所有未经本刊书面许可, 不得转载、摘编本刊所有文章内容。, copyrightOwner=中国科学器材公司, extLink=null, articleAbsUrl=null, sourceXml=JBZCc4St1CWlNO3pKUqalw==, magXml=9PXaGiMRGDix2vEW7Rmwxw==, pdfUrl=null, pdf=WSEkfx6HCnGhiH3yfLv/yg==, pdfFileSize=2163488, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=W3VsitdibvBBw1fI+TwhzQ==, mapNumber=null, fund=null)}, authors=[Author(id=1320381160115516205, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1320381160203596591, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, authorId=1320381160115516205, language=EN, stringName=Xuan Huang, firstName=Xuan, middleName=null, lastName=Huang, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=null, address=Department of Vascular and Endovascular Surgery, Jingzhou First People's Hospital (First Affiliated Hospital of Yangtze University), Jingzhou 434000, China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1320381160274899760, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, authorId=1320381160115516205, language=CN, stringName=黄璇, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=null, address=荆州市第一人民医院（长江大学附属第一医院）介入血管外科，荆州 434000, bio={"content":"
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Chronic venous disorders: the dangerous, the good, and the diverse[J]. Int J Mol Sci, 2018, 19(9): 2544., articleTitle=null, refAbstract=null), Reference(id=1320381163676480333, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[2], rfOrder=1, authorNames=null, journalName=null, refType=null, unstructuredReference=Elzefzaf N, Elfeky M A, Elshatlawy K M, et al. Evaluation of endovenous laser ablation in the management of varicose veins[J]. Cureus, 2023, 15(9): e45096., articleTitle=null, refAbstract=null), Reference(id=1320381163751977806, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[3], rfOrder=2, authorNames=null, journalName=null, refType=null, unstructuredReference=Matei S, Matei M, Anghel F M, et al. Cryostripping-a safe and efficient alternative procedure in chronic venous disease treatment[J]. J Clin Med, 2022, 11(17): 5028., articleTitle=null, refAbstract=null), Reference(id=1320381163827475279, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[4], rfOrder=3, authorNames=null, journalName=null, refType=null, unstructuredReference=Cicek M C, Cicek O F, Lafci G, et al. Comparison of cutaneous nerve injury and vessel disruption complications following saphenous vein stripping using big or small olive heads[J]. Pak J Med Sci, 2016, 32(3): 626-629., articleTitle=null, refAbstract=null), Reference(id=1320381163911361360, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[5], rfOrder=4, authorNames=null, journalName=null, refType=null, unstructuredReference=Ricci S. CHIVA for dummies[J]. Phlebology, 2024, 39(4): 238-244., articleTitle=null, refAbstract=null), Reference(id=1320381163982664529, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[6], rfOrder=5, authorNames=null, journalName=null, refType=null, unstructuredReference=Franceschi C. The conservative and hemodynamic treatment of ambulatory venous insufficiency[J]. Phlebologie, 1989, 42(4): 567-568., articleTitle=null, refAbstract=null), Reference(id=1320381164032996178, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[7], rfOrder=6, authorNames=null, journalName=null, refType=null, unstructuredReference=Recek C. Assessment of the CHIVA and the ASVAL method[J]. Int J Angiol, 2022, 31(2): 83-87., articleTitle=null, refAbstract=null), Reference(id=1320381164100105043, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[8], rfOrder=7, authorNames=null, journalName=null, refType=null, unstructuredReference=Franceschi C, Cappelli M, Ermini S, et al. CHIVA: hemodynamic concept, strategy and results[J]. Int Angiol, 2016, 35(1): 8-30., articleTitle=null, refAbstract=null), Reference(id=1320381164163019604, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[9], rfOrder=8, authorNames=null, journalName=null, refType=null, unstructuredReference=Yun S, Hwang M. The teupitz shunt classification for CHIVA strategy[J]. Annals of Phlebology, 2023, 21(1): 1-4., articleTitle=null, refAbstract=null), Reference(id=1320381164234322773, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[10], rfOrder=9, authorNames=null, journalName=null, refType=null, unstructuredReference=Pei Y, Li C, Niu S, et al. Comparison of the efficacy and safety of ultrasound-guided CHIVA and traditional HLS in the treatment of varicose veins of lower extremities: a meta-analysis[J]. Medicine, 2023, 102(44): e35442., articleTitle=null, refAbstract=null), Reference(id=1320381164301431638, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[11], rfOrder=10, authorNames=null, journalName=null, refType=null, unstructuredReference=Bellmunt-Montoya S, Escribano J M, Dilme J, et al. CHIVA method for the treatment of chronic venous insufficiency[J]. Cochrane Database Syst Rev, 2015(6): CD009648., articleTitle=null, refAbstract=null), Reference(id=1320381164385317719, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[12], rfOrder=11, authorNames=null, journalName=null, refType=null, unstructuredReference=Juhani A A, Abdullah A, Alyaseen E M, et al. Interventions for great saphenous vein insufficiency: a systematic review and network meta-analysis[J]. Vascular, 2025, 33(5): 983-998., articleTitle=null, refAbstract=null), Reference(id=1320381164452426584, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[13], rfOrder=12, authorNames=null, journalName=null, refType=null, unstructuredReference=Guo L, Huang R, Zhao D, et al. Long-term efficacy of different procedures for treatment of varicose veins: a network meta-analysis[J]. Medicine (Baltimore), 2019, 98(7): e14495., articleTitle=null, refAbstract=null), Reference(id=1320381164515341145, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[14], rfOrder=13, authorNames=null, journalName=null, refType=null, unstructuredReference=Zhu H, Zhang N, Ni Y, et al. A novel approach to venous clinical severity score prediction: combining metaheuristic algorithm and random forest classification[J]. Comput Methods Biomech Biomed Engin, 2025: 1-15., articleTitle=null, refAbstract=null), Reference(id=1320381164574061402, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[15], rfOrder=14, authorNames=null, journalName=null, refType=null, unstructuredReference=Tenezaca-Sari X, García-Reyes M, Escribano-Ferrer J M, et al. The CHIVA strategy applied to large-diameter saphenous veins[J]. Int Angiol, 2022, 41(4): 332-337., articleTitle=null, refAbstract=null), Reference(id=1320381164645364571, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[16], rfOrder=15, authorNames=null, journalName=null, refType=null, unstructuredReference=de Moraes Silva M A, Nakano L C, Cisneros L L, et al. Balneotherapy for chronic venous insufficiency[J]. Cochrane Database Syst Rev, 2023(1): CD013085., articleTitle=null, refAbstract=null), Reference(id=1320381164708279132, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[17], rfOrder=16, authorNames=null, journalName=null, refType=null, unstructuredReference=Yie K, Shin A, Jeong E, et al. Propensity score matched analysis of quality of life improvement after endovenous ablation for isolated below the knee segmental versus thighcalf great saphenous vein reflux[J/OL]. Eur J Vasc Endovasc Surg, 2025(2025-12-11) [2026-03-16]. https://www.ejves.com/article/S1078-5884(25)01236-5/fulltext., articleTitle=null, refAbstract=null), Reference(id=1320381164771193694, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[18], rfOrder=17, authorNames=null, journalName=null, refType=null, unstructuredReference=Creton O, Lareyre F, Adam C, et al. Machine learning-based prediction models to assess 30-day outcomes following intervention for superficial venous incompetence of the lower limbs[J]. J Vasc Surg Cases Innov Tech, 2026, 12(1): 102035., articleTitle=null, refAbstract=null), Reference(id=1320381164838302559, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[19], rfOrder=18, authorNames=null, journalName=null, refType=null, unstructuredReference=Li B, Eisenberg N, Beaton D, et al. Predicting lack of clinical improvement following varicose vein ablation using machine learning[J]. J Vasc Surg Venous Lymphat Disord, 2025, 13(3): 102162., articleTitle=null, refAbstract=null), Reference(id=1320381164901217120, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[20], rfOrder=19, authorNames=null, journalName=null, refType=null, unstructuredReference=Bakhouche A, Creton O, Lareyre F, et al. Analysis of clinical improvement at 90 days after varicose vein surgery using machine learning[J]. Angiology, 2026: 33197261416661., articleTitle=null, refAbstract=null), Reference(id=1320381166570550114, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[21], rfOrder=20, authorNames=null, journalName=null, refType=null, unstructuredReference=Tabari A, Ma Y, Alfonso J, et al. An artificial intelligence interpretable tool to predict risk of deep vein thrombosis after endovenous thermal ablation[J]. J Vasc Surg Venous Lymphat Disord, 2025, 13(5): 102253., articleTitle=null, refAbstract=null), Reference(id=1320381166654436195, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381159226323750, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[22], rfOrder=21, authorNames=null, journalName=null, refType=null, unstructuredReference=Marston W A, Crowner J, Kouri A, et al. Incidence of venous leg ulcer healing and recurrence after treatment with endovenous laser ablation[J]. 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