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]

**여성생식기탈출, 60·70대가 절대다수…입원·외래 모두 증가세**

**2024년 외래 2만8218명, 입원 8351명**
**상급종합·종합병원 중심 진료…서울·경기 환자 최다**

여성생식기탈출(N81) 진료는 연령별로 60대와 70대에 집중되는 양상이 뚜렷했다.
2024년 기준 여성생식기탈출 환자는 60~69세가 9812명으로 가장 많았고, 70~79세가 9416명으로 뒤를 이었다. 두 연령대만 합쳐도 전체의 상당 비중을 차지해, 폐경 이후 골반저 근육과 지지조직의 약화가 주요 위험요인으로 작용하는 질환 특성이 그대로 드러났다. 80~89세도 3970명으로 적지 않았고, 50~59세 4192명, 40~49세 1920명 순이었다. 반면 30대 이하는 수백 명 이하에 그쳐 고령층 중심의 질환 구조가 확연했다.

연도별로도 고령층 집중 현상은 이어졌다. 2020년부터 2024년까지 60~69세는 8204명→8709명→9125명→1만328명→9812명으로 가장 높은 수준을 유지했고, 70~79세 역시 7928명→8238명→8596명→9272명→9416명으로 꾸준히 많았다. 50~59세도 4018명에서 4192명으로 늘며 중장년층 진입 이후 환자 규모가 확대되는 흐름을 보였다.

입원·외래 분석에서도 환자 수는 전반적으로 증가세였다. 2020년 입원 환자는 7162명, 외래는 2만3888명이었는데 2023년에는 입원이 8876명, 외래가 2만8947명으로 늘어 정점을 찍었다. 2024년에는 입원 8351명, 외래 2만8218명으로 소폭 조정됐지만, 여전히 2020년보다 높은 수준을 유지했다. 외래 진료가 입원보다 훨씬 많다는 점은 조기 진단 후 보존적 치료와 반복 추적관찰이 광범위하게 이뤄지고 있음을 시사한다.

병원 종별로는 상급종합병원과 종합병원에서 가장 많은 진료가 이뤄졌다. 2024년 기준 종합병원은 9543명, 상급종합병원은 8867명이었고 의원급도 8762명으로 비슷한 수준이었다. 병원급은 6207명, 보건기관등은 28명에 그쳤다. 2023년에는 상급종합병원 9408명, 종합병원 9891명, 의원급 8839명으로 늘어나며 대형병원과 1차 의료기관 모두에서 진료 수요가 확대된 흐름을 보였다.

지역별로는 수도권 집중이 두드러졌다. 2024년 서울이 9883명으로 가장 많았고 경기 6087명, 부산 3502명, 인천 1294명, 전북 1316명 순이었다. 대구 1655명, 경남 1154명, 광주 994명, 대전 949명도 적지 않았으며, 세종은 133명으로 가장 적었다. 서울과 경기만 합쳐도 1만5000명을 넘어서, 대도시권과 의료 접근성이 높은 지역에 환자와 진료가 집중되는 구조가 확인됐다.

여성생식기탈출은 단순한 노화 현상이 아니라 출산력, 비만, 만성 기침, 복압 상승, 결합조직 약화 등이 복합적으로 작용하는 질환으로 알려져 있다. 특히 고령 여성에서 증상이 진행되면 일상생활 불편과 배뇨·배변 장애까지 동반될 수 있어, 조기 상담과 치료 접근성이 중요하다.
이번 데이터는 여성생식기탈출이 60~70대 고령층을 중심으로 외래 진료가 많고, 대형병원과 수도권에 환자 수요가 집중되는 특징을 분명하게 보여준다.