입원/외래 데이터
질병코드|질병명|성별|입원/외래|환자수|내원일수|진료건수|보험자부담금|총진료비|연도
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연령별 데이터
질병코드|질병명|연령|성별|환자수|방문횟수|진료건수|보험자부담금|총진료비|연도
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병원별 데이터
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지역별 데이터
지역|질병코드|질병명|환자수|방문일수|진료건수|보험자부담금|총진료비|연도
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**자궁내막증 환자, 20~40대에 집중…2030년대 후반까지 증가세**

**20~40대가 절대다수, 40대가 최다**
**외래 중심 진료에, 상급종합·종합병원 쏠림도 뚜렷**

자궁내막증(N80) 환자가 최근 5년간 꾸준히 늘며, 특히 가임기 핵심 연령대인 20~40대 여성에 집중된 것으로 나타났다. 질환 특성상 생리통, 골반통, 난임과 연결되는 경우가 많아 조기 진단과 지속적 치료가 중요하지만, 실제 진료는 외래 중심으로 이뤄졌고 상급종합병원과 종합병원에 환자가 많이 몰렸다.

국내 질병정보 데이터에 따르면 자궁내막증 연령별 진료는 매년 40대가 가장 많았다. 2020년 40~49세 환자는 7만757명으로 전체 연령대 중 최다였고, 2021년 8만935명, 2022년 8만6041명, 2023년 9만1785명, 2024년에는 9만3496명으로 증가했다. 5년 새 약 32% 늘어난 셈이다.

20대와 30대에서도 증가세가 이어졌다. 20~29세는 2020년 1만7118명에서 2024년 2만3147명으로 늘었고, 30~39세는 같은 기간 4만1741명에서 5만6440명으로 증가했다. 50~59세도 2만4155명에서 3만5333명으로 불어났지만, 진료의 중심축은 여전히 20~49세에 있었다. 실제 2024년 기준 20~49세 환자는 20대 2만3147명, 30대 5만6440명, 40대 9만3496명으로 압도적인 비중을 차지했다.

10대와 60대 이상에서도 환자가 확인되긴 했지만 규모는 상대적으로 작았다. 10~19세는 2020년 573명에서 2024년 738명으로 소폭 증가했고, 60~69세는 1818명에서 3457명으로 늘었다. 70대와 80대 역시 환자가 꾸준히 보고됐지만 전체 규모에서는 제한적이었다.

입원과 외래를 비교하면 외래 진료 비중이 압도적으로 높았다. 2020년 외래 환자는 14만9968명, 2024년에는 20만5351명으로 늘었고, 입원 환자는 같은 기간 1만7343명에서 1만7123명 수준으로 큰 변동 없이 유지됐다. 자궁내막증이 대개 반복 외래 진료와 약물·추적관찰 중심으로 관리되는 질환임을 보여주는 대목이다.

진료기관별로는 병원급 이상 의료기관의 비중이 컸다. 2024년 기준 종합병원 환자가 5만9629명으로 가장 많았고, 상급종합병원 4만8604명, 병원급 4만8661명, 의원급 6만5237명으로 집계됐다. 특히 의원급 진료도 2020년 3만9886명에서 2024년 6만5237명으로 늘어, 지역내 초기 진료와 장기 관리 수요가 커진 것으로 보인다.

지역별로는 수도권 집중 현상이 두드러졌다. 서울은 2024년 6만2440명으로 가장 많았고, 경기 5만2850명, 부산 1만5770명, 인천 1만1553명 순이었다. 대전, 경북, 경남, 대구 등에서도 2만 명 안팎의 진료가 이어졌지만, 전체적으로 인구가 많은 대도시권 환자 비중이 높았다.

연도별 전체 흐름을 보면 자궁내막증은 사실상 매년 증가세였다. 입원은 2020년 1만7343명에서 2021년 1만9920명으로 늘었다가 2024년 1만7123명으로 다소 줄었지만, 외래는 2020년 14만9968명에서 2024년 20만5351명으로 꾸준히 증가했다. 진료비 역시 입원과 외래 모두 높은 수준을 유지해, 질환의 사회·의료적 부담이 적지 않음을 시사했다.

자궁내막증은 생리통을 단순한 통증으로 넘기기 쉬운 10대 후반~20대 초반부터 본격적으로 나타나며, 진단이 늦어질수록 만성 통증과 난임 위험이 커질 수 있다. 데이터가 보여주듯 환자의 대부분이 20~40대에 몰려 있는 만큼, 가임기 여성 대상의 조기 인지와 산부인과 진료 접근성 강화가 중요한 과제로 꼽힌다.