The invention discloses an advanced grouting construction method for an underground excavated tunnel. The method comprises the steps of step I, dividing the section of the tunnel into a first upper pilot tunnel, a second upper pilot tunnel, a first lower pilot tunnel and a second lower pilot tunnel; step II, after pipe shed advance support, performing advanced grouting on the first upper pilot tunnel in the tunnel excavation direction, and excavating and supporting the first upper pilot tunnel; step III, performing grouting reinforcement on the to-be-excavated areas of the first lower pilot tunnel and the second upper pilot tunnel from the first upper pilot tunnel through the excavated and supported space of the first upper pilot tunnel; step IV, excavating and supporting the first lower pilot tunnel, performing grouting reinforcement on the to-be-excavated area of the second lower pilot tunnel from the first lower pilot tunnel through the excavated and supported space of the first lower pilot tunnel; step V, excavating and supporting the second upper pilot tunnel, and then excavating and supporting the second lower pilot tunnel; and step VI, repeating the step II, the step III, the step IV and the step V, and completing tunnel construction. The construction method can shorten the construction period, improve the grouting effect and reduce the construction cost.