Exploring regional differences in land use carbon emission efficiency (LUCE) and the path of collaborative emission reduction in the Yangtze River Economic Belt (YREB) are of immense importance to achieve the sustainable regional development. Firstly, based on the estimation method of land use carbon emissions, this paper scientifically calculates the carbon emission of land use of the Yangtze River Delta urban agglomeration (YRD), the middle reaches of the Yangtze River urban agglomeration (MRYR), and the Chengdu-Chongqing urban agglomeration (CC) from 2010 to 2021 in the YREB. And the carbon emission of land use of each city in urban agglomerations was obtained, which was regarded as the unexpected output in the efficiency evaluation index system. Secondly, the three-stage SBM-DEA model was used to reveal the LUCE and its spatiotemporal characteristics in different regions from a static perspective. The empirical results of the second stage SFA showed that the level of economic development, urbanization rate, industrial structure, non-agricultural conversion rate of agricultural land, the level of scientific and technological innovation and government intervention had significant effects on LUCE. By comparing the efficiency values and their decompositions in the first and third stage of various urban agglomerations, it was found that after eliminating environmental and random factors, the average ranking of comprehensive technical efficiency (TE) of land use carbon emission changed from YRD > MRYR > CC to YRD > CC > MRYR due to the cross influence of pure technical efficiency (PTE) and scale efficiency (SE). Thirdly, Malmquist index model was used to analyze the change of total factor productivity index (TFPch) and its spatiotemporal pattern from a dynamic perspective. It was found that the TFPch, technological progress index (TC), pure technical efficiency index (PEC) and scale efficiency index (SEC) of land use carbon emission of the three major urban agglomerations all showed varying degrees of increase after adjustment. Finally, to further analyze the impact of technological progress, PTE and SE on LUCE, a regression model was constructed with LUCE of each city in urban agglomeration as the dependent variable, and TC, PEC and SEC as independent variables. It was concluded that technological progress was the main factor to promote the improvement of LUCE in the whole YREB. The trend of changes of LUCE in various urban agglomerations was closely related to its management level, technology level and factor structure adjustment. The above conclusions provide support for the coordinated emission reduction path of urban agglomerations in the YREB from the perspective of land use, which is conducive to actively and steadily promoting the realization of carbon peak and carbon neutrality goals.