The invention discloses a hydraulically driven high-pressure rotary grinding head for radial drilling in casing pipes, which includes a lower joint, a body, a core and a grinding head. The tail of the body is connected; the core is provided with an axial through hole, and the core is set in the body, and the expanded diameter section of the core forms a clearance fit with the outer body, and the tail of the core forms an axial cavity with the lower joint or the body. Sealing and sliding fit, the end of the core is connected with the grinding head; the end of the grinding head is conical, and the grinding head is provided with spray holes in the front and rear directions, and the spray holes are connected with the cavity inside the grinding head; the body and the core are both There are radially distributed straight holes, the straight holes of the body communicate with the inner cavity of the body, and the straight holes of the core communicate with the through holes of the core. When the invention performs jet drilling, the pump is turned on, and the grinding head rotates at high speed to generate high-pressure water jets to spray the rock formation. At the same time, the grinding head moves forward under the action of self-traction force. Finish.