The invention provides a septic tank sludge treatment vehicle with a control arm. The septic tank sludge treatment vehicle at least comprises a vehicle body, a control cabinet, a grid residue presser, a screw press, an electric generator, a power distribution cabinet, a vacuum water tank and a stirring tank, and further comprises the control arm, a monitoring device, a flushing and digging device and a sewage suction device, wherein the control cabinet, the grid residue presser, the screw press, the electric generator, the power distribution cabinet, the vacuum water tank and the stirring tank are arranged in the vehicle body, and the monitoring device, the flushing and digging device and the sewage suction device are positioned on the control arm. According to the treatment vehicle, through cooperative operation of the control arm and an airtight device, the monitoring device, the flushing and digging device and the sewage suction device on the control arm, the automation degree of the septic tank sludge treatment vehicle is high, the number of workers is decreased, meanwhile, the airtight device prevents odor from overflowing, environmentally-friendly operation is achieved, the monitoring device monitors the cleaning degree in a septic tank in real time, the flushing and digging device performs multi-angle flushing, sludge in the septic tank is fully flushed, and the operation efficiency is improved.