Microplastics (MPs), a new type of pollutant, pose a significant threat to the environment at high concentrations. One of the primary sources of MPs in the ocean is river runoff, highlighting the need to investigate the spatial and temporal variations of MPs in rivers that flow into the sea, as well as their contributing factors. In this study, we analyzed MPs distribution and their influence factors in the Lincheng River, China. The Lincheng is the second largest river in Zhoushan island that directly flows into the ocean. MPs in the river water and sediments were detected during the wet season (July 2021), the dry season (November 2021) and the typhoon season (September 2021), and MPs were present in all reaches of the river. The abundance of MPs in the river was moderate compared to other studies, with the river water exhibiting a concentration of 15 ± 2.64 n/L and the sediment containing 318.24 ± 49.53 n/kg of MPs. In surface water, the most commonly found MP was blue man-made cellulose (CE), while the sediment contained mostly fragments of polypropylene (PP) and polypropylene polyethylene blends (PP + PE) in blue and green colors. The abundance of MPs showed significant seasonal differences, with higher abundance during the wet season compared to the dry season and typhoon period. Furthermore, local construction activities may contribute to higher MP abundance. To explore the influence factors of MPs, the Basin Development Index (BDI) was proposed, and a positive correlation between BDI and MP abundance was founded. This correlation indicates that the increase in land use for construction highly contributes to the MP pollution. In conclusion, future long-term monitoring of the abundance of MPs in the Lincheng River is necessary.