In this study, macrobenthic diversity data were collected from intertidal habitats of island wetlands in Yangtze Estuary before and after reclamation. Three survey regions based on habitat features were investigated: protected region, normal region, and self-restored region. The pattern of diversity variation showed a sharp decrease in reclamation sites and an obvious increase in vegetated sites of the self-restored region before and after reclamation. A declining trend in habitat health was observed in reclamation sites, but the degree of perturbation was relatively weaker in protected region than in normal region. The vegetated site showed a better self-restoration of biodiversity than the bald site. These results suggest that reclamation may have a negative influence on biodiversity and habitat health status in the intertidal wetland. Also, there is a possibility of self-restoration in tidal flats disturbed by reclamation and the resistance effect in nature reserve may reduce the disturbances resulting from reclamation.