The invention relates to a rotary steering well drilling device in the field of well drilling tools. The rotary steering well drilling device is mainly composed of a central spindle, a positioning cylinder, a positioner, a positioning key, a tension spring, a control valve, a control pin, a compression spring, an offset block, a bearing and a sealing device. The central spindle is connected with a drill column and a drill bit. During deflecting, an offset mechanism stretches out, the drill column and a well hole are eccentric, the positioning cylinder and the offset mechanism do not rotate, the drilling pressure and the torque are transmitted to the drill bit through the central spindle, and therefore a deflecting section can conduct rotary and directional drilling. During angle holding, the offset mechanism retracts back, the drill column and the well hole are concentric, the drilling pressure and the torque are transmitted to the drill bit through the central spindle, and therefore an angle holding section conducts rotary drilling. The rotary steering well drilling device is high in deflecting capability, wide in application range and capable of greatly reducing the well drilling cost of a well of a complex structure, and meanwhile the rotary steering well drilling device has the beneficial effects of being simple and reliable in structural design, convenient to machine, large in transmission torque, stable in operation and the like.