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]

**자궁내막증 환자 5년 연속 증가**
**40대가 가장 많아…30·50대도 빠르게 늘어**

자궁내막증 환자가 최근 5년간 매년 증가한 것으로 나타났다. 특히 연령별로는 40대 여성이 가장 큰 비중을 차지했고, 30대와 50대에서도 환자가 꾸준히 늘며 중년층 중심의 질환 양상이 뚜렷했다.

건강보험 청구 데이터를 보면 N80 자궁내막증 환자 수는 2020년 15만7311명에서 2024년 22만2474명으로 증가했다. 4년 새 약 41.4% 늘어난 수치다. 같은 기간 외래 환자는 14만9968명에서 20만5351명으로 크게 증가했고, 입원 환자도 1만7343명에서 1만7123명 수준을 유지하며 고정적인 치료 수요가 이어졌다. 자궁내막증이 단순한 생리통을 넘어 지속적인 외래 진료와 관리가 필요한 만성질환 성격을 갖고 있음을 보여준다.

무엇보다 연령별 분포가 뚜렷했다. 2024년 기준 40대 환자가 9만3496명으로 가장 많았고, 30대 5만6440명, 50대 3만5333명, 20대 2만3147명 순이었다. 40대 환자는 2020년 7만757명에서 2024년 9만3496명으로 늘었고, 30대 역시 같은 기간 4만1741명에서 5만6440명으로 증가했다. 50대도 2만4155명에서 3만5333명으로 증가해, 자궁내막증이 가임기 여성뿐 아니라 40~50대까지 폭넓게 영향을 미치고 있음을 확인할 수 있다.

10대 청소년층에서도 환자가 적지 않았다. 10~19세 환자는 2020년 573명에서 2024년 738명으로 증가했다. 20대는 1만7118명에서 2만3147명으로, 30대는 4만1741명에서 5만6440명으로, 40대는 7만757명에서 9만3496명으로 각각 늘었다. 60대 이상에서도 환자 수는 적지만 소폭 증가세를 보였으며, 60~69세는 1818명에서 3457명으로 두 배 가까이 늘었다. 다만 70대 이상과 80대 이상은 여전히 극소수에 머물렀다.

의료기관 이용 양상도 외래 중심이었다. 병원등급별로 보면 2024년 자궁내막증 환자는 의원급 6만5237명, 종합병원 5만9629명, 상급종합병원 4만8604명, 병원급 4만8661명 순이었다. 2020년과 비교하면 의원급과 종합병원, 상급종합병원 모두 증가했다. 특히 의원급 환자는 2020년 3만9886명에서 2024년 6만5237명으로 크게 늘어, 초기 진단과 장기 추적 관리가 1차 의료기관 중심으로 이뤄지고 있는 흐름이 읽힌다.

지역별로는 수도권 쏠림이 두드러졌다. 2024년 경기 5만2850명, 서울 6만2440명으로 두 지역이 압도적으로 많았다. 그 뒤를 부산 1만5770명, 인천 1만1553명, 경남 9815명, 대전 9669명 등이 이었다. 세종도 2020년 472명에서 2024년 1028명으로 두 배 이상 증가해 지역별 환자 증가세가 전국적으로 확산되는 모습이다.

자궁내막증은 자궁 내막과 유사한 조직이 자궁 밖에서 자라면서 통증과 난임을 유발하는 질환으로, 진단과 치료가 늦어질수록 삶의 질 저하가 커질 수 있다. 이번 데이터는 환자 수 증가와 함께 20~50대 여성의 의료 이용이 함께 늘고 있음을 보여주며, 조기 진단과 장기 관리 체계 강화의 필요성을 다시 한 번 시사한다.