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
병원등급|질병코드|질병명|환자수|방문일수|진료건수|보험자부담금|총진료비|연도
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지역별 데이터
지역|질병코드|질병명|환자수|방문일수|진료건수|보험자부담금|총진료비|연도
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[자료 = 건강보험심사평가원]

**자궁외임신, 30~39세가 압도적…입원은 줄고 외래는 완만한 감소**
**대형병원 치료 비중 높지만, 2024년엔 병원급·의원급 분산 뚜렷**

자궁외임신(O00) 환자는 최근 5년간 가장 많이 발생한 연령대가 30~39세 여성으로 확인됐다.
2020년부터 2024년까지 매년 전체 환자 규모의 절반 안팎을 차지하며, 자궁외임신이 가임기 후반부 여성에게 집중되는 양상을 뚜렷하게 보였다.

연령별로 보면 30~39세 환자는 2020년 7,517명에서 2021년 7,111명, 2022년 6,248명, 2023년 6,090명으로 감소세를 보였지만, 2024년 다시 6,196명으로 소폭 반등했다.
같은 기간 진료건수도 3만4,314건(2020년)에서 2만7,400건(2024년)으로 줄었고, 입원일수 역시 2만4,603일에서 2만727일로 감소했다. 자궁외임신 환자 중 핵심 연령층은 여전히 30대 후반까지의 여성이라는 점을 보여준다.

다음으로 많은 연령대는 20~29세와 40~49세였다.
20~29세는 2020년 3,001명에서 2024년 1,948명으로 크게 줄었고, 진료건수도 1만2,593건에서 7,626건으로 감소했다. 반면 40~49세는 2020년 1,257명에서 2024년 1,138명으로 비교적 큰 변동 없이 유지됐다.
10~19세는 매년 100명 안팎의 적은 수준이었고, 50~59세는 한 자릿수에서 10명대에 머물렀다. 2024년에는 60~69세 환자도 1명 보고돼, 자궁외임신이 드물게 비교적 고령층에서도 나타날 수 있음을 보여줬다.

전체 진료 형태를 보면 입원 환자는 감소세가 더 뚜렷했다.
입원 환자 수는 2020년 4,507명에서 2021년 4,242명, 2022년 3,752명, 2023년 3,659명, 2024년 3,526명으로 줄었다. 진료건수도 같은 기간 2만119건에서 1만3,917건으로 감소했다. 외래 환자 역시 2020년 1만548명에서 2024년 8,328명으로 줄었고, 진료건수는 3만2,394건에서 2만5,999건으로 감소했다.
즉, 자궁외임신은 입원과 외래 모두 줄고 있으나, 입원 감소 폭이 상대적으로 더 크다.

병원급별로는 상급종합병원과 종합병원, 병원급, 의원급이 고르게 분포했다.
2024년 기준 입원 환자 수는 병원급 3,566명, 의원급 3,841명, 종합병원 1,925명, 상급종합병원 1,188명 순이었다. 다만 진료건수는 병원급 1만4,485건, 종합병원 9,474건, 의원급 1만632건, 상급종합병원 5,323건으로 나타나, 중증도와 치료단계에 따라 다양한 의료기관이 관여하고 있음을 시사한다.

지역별로는 2024년에도 경기와 서울이 가장 많은 환자를 기록했다.
경기는 입원 2,842명, 외래 1만1,180명으로 전국 최다 수준이었고, 서울은 입원 2,073명, 외래 8,470명으로 뒤를 이었다. 이어 인천, 대구, 경남 등이 높은 수치를 보였다.
다만 수도권 집중 현상이 뚜렷한 가운데, 부산·대구·광주·대전 등 광역시와 전국 각 시도에서도 고르게 환자가 발생해 자궁외임신이 특정 지역에만 국한된 질환은 아님을 보여줬다.

의학적으로 자궁외임신은 수정란이 자궁이 아닌 난관 등 자궁 밖에 착상하는 질환으로, 복통과 질출혈이 대표 증상이다. 조기 진단이 늦어지면 난관 파열과 대량 출혈로 이어질 수 있어 신속한 진료가 중요하다.
이번 통계는 자궁외임신이 여전히 30대 여성 중심 질환이라는 점, 그리고 입원 치료 비중은 줄었지만 의료기관 전반에서 꾸준히 관리가 이뤄지고 있다는 점을 함께 보여준다.