High pathological tubular pattern found in routine urine examination is usually a reflection of renal disease, and the specific causes need to be analyzed according to different types of tubular pattern, and the common tubular patterns include clear-fine granular pattern, cellular tubular pattern, granular tubular pattern, fatty tubular pattern, waxy tubular pattern, and wide tubular pattern, and so on. 1. Transparent-fine granular tubular pattern: Occasionally seen in normal urine, can be increased transiently after fever, strenuous exercise. Large amount of proteinuria, nephrotic syndrome can be seen more of this type of tubular pattern. 2. Cellular tubular pattern: (1) Erythrocyte tubular pattern: mainly seen in glomerular acute proliferative inflammation, glomerular hemorrhage. (2) Leukocyte tubular pattern: common in pyelonephritis, interstitial nephritis, acute glomerulonephritis. (3) Renal tubular epithelial cell tubular type: seen in acute tubular injury or necrosis, etc. (4) Mixed-cell tubular pattern: seen in tubular interstitial inflammation, etc. (3) granular tubular type: seen in all kinds of acute and chronic renal diseases. (4) Fatty tubular pattern: seen in nephrotic syndrome, fatty degeneration of renal tubular epithelial cells, etc. 5. Waxy tubular pattern: seen in renal failure. 6. Wide tubular pattern: seen in renal tubular necrosis and renal failure. If the patient’s urine routine examination found high pathological tubular type, it is recommended to go to the regular hospital in time, improve the examination to clarify the cause of the disease, and then give targeted treatment or treatment under the guidance of the doctor.