我编写了一个util函数来实现这个目的。你可以看看：

// adjust the height of a multi-line label to make it align vertical with top
+ (void) alignLabelWithTop:(UILabel *)label {
  CGSize maxSize = CGSizeMake(label.frame.size.width, 999);
  label.adjustsFontSizeToFitWidth = NO;

  // get actual height
  CGSize actualSize = [label.text sizeWithFont:label.font constrainedToSize:maxSize lineBreakMode:label.lineBreakMode];
  CGRect rect = label.frame;
  rect.size.height = actualSize.height;
  label.frame = rect;
}

.如何使用？（如果lblHello是由Interface builder创建的，所以我跳过了一些UILabel属性的详细信息）

lblHello.text = @"Hello World! Hello World! Hello World! Hello World! Hello World! Hello World! Hello World! Hello World!";
lblHello.numberOfLines = 5;
[Utils alignLabelWithTop:lblHello];

我还在博客上写了一篇文章：http://fstoke.me/blog/?p=2819

如果可以选择创建自己的自定义视图，可以执行以下操作：

- (void)drawRect:(CGRect)rect
{
    CGRect bounds = self.bounds;
    [self.textColor set];
    [self.text drawInRect:bounds
                 withFont:self.font
            lineBreakMode:UILineBreakModeTailTruncation
                alignment:self.textAlignment];
}

这是一个旧的解决方案，在iOS上使用自动布局>=6

我的解决方案：

自行拆分线条（忽略标签换行设置）自己绘制线（忽略标签对齐）

@interface UITopAlignedLabel : UILabel

@end

@implementation UITopAlignedLabel

#pragma mark Instance methods

- (NSArray*)splitTextToLines:(NSUInteger)maxLines {
    float width = self.frame.size.width;

    NSArray* words = [self.text componentsSeparatedByCharactersInSet:[NSCharacterSet whitespaceAndNewlineCharacterSet]];
    NSMutableArray* lines = [NSMutableArray array];

    NSMutableString* buffer = [NSMutableString string];    
    NSMutableString* currentLine = [NSMutableString string];

    for (NSString* word in words) {
        if ([buffer length] > 0) {
            [buffer appendString:@" "];
        }

        [buffer appendString:word];

        if (maxLines > 0 && [lines count] == maxLines - 1) {
            [currentLine setString:buffer];
            continue;
        }

        float bufferWidth = [buffer sizeWithFont:self.font].width;

        if (bufferWidth < width) {
            [currentLine setString:buffer];
        }
        else {
            [lines addObject:[NSString stringWithString:currentLine]];

            [buffer setString:word];
            [currentLine setString:buffer];
        }
    }

    if ([currentLine length] > 0) {
        [lines addObject:[NSString stringWithString:currentLine]];
    }

    return lines;
}

- (void)drawRect:(CGRect)rect {
    if ([self.text length] == 0) {
        return;
    }

    CGContextRef context = UIGraphicsGetCurrentContext();

    CGContextSetFillColorWithColor(context, self.textColor.CGColor);
    CGContextSetShadowWithColor(context, self.shadowOffset, 0.0f, self.shadowColor.CGColor);

    NSArray* lines = [self splitTextToLines:self.numberOfLines];
    NSUInteger numLines = [lines count];

    CGSize size = self.frame.size;
    CGPoint origin = CGPointMake(0.0f, 0.0f);

    for (NSUInteger i = 0; i < numLines; i++) {
        NSString* line = [lines objectAtIndex:i];

        if (i == numLines - 1) {
            [line drawAtPoint:origin forWidth:size.width withFont:self.font lineBreakMode:UILineBreakModeTailTruncation];            
        }
        else {
            [line drawAtPoint:origin forWidth:size.width withFont:self.font lineBreakMode:UILineBreakModeClip];
        }

        origin.y += self.font.lineHeight;

        if (origin.y >= size.height) {
            return;
        }
    }
}

@end

创建UILabel的子类。就像一个魅力：

// TopLeftLabel.h

#import <Foundation/Foundation.h>

@interface TopLeftLabel : UILabel 
{
}

@end

// TopLeftLabel.m

#import "TopLeftLabel.h"

@implementation TopLeftLabel

- (id)initWithFrame:(CGRect)frame 
{
    return [super initWithFrame:frame];
}

- (CGRect)textRectForBounds:(CGRect)bounds limitedToNumberOfLines:(NSInteger)numberOfLines 
{
    CGRect textRect = [super textRectForBounds:bounds limitedToNumberOfLines:numberOfLines];    
    textRect.origin.y = bounds.origin.y;
    return textRect;
}

-(void)drawTextInRect:(CGRect)requestedRect 
{
    CGRect actualRect = [self textRectForBounds:requestedRect limitedToNumberOfLines:self.numberOfLines];
    [super drawTextInRect:actualRect];
}

@end

正如这里所讨论的。

此代码帮助您使文本与顶部对齐，并使标签高度与文本内容固定。

使用以下代码的说明

默认情况下，isHeightToChange会自动将标签的高度设置为与文本内容相同。isHeightToChange如果为false，则使文本对齐到顶部，而不降低标签的高度。

#import "DynamicHeightLable.h"

@implementation DynamicHeightLable
@synthesize isHeightToChange;
- (id)initWithFrame:(CGRect)frame 
{
    self = [super initWithFrame:frame];
    if (self)
    {
        // Initialization code.
        self.isHeightToChange=FALSE;//default

    }
    return self;
}
- (void)drawTextInRect:(CGRect)rect
{
    if(!isHeightToChange){
    CGSize maximumLabelSize = CGSizeMake(self.frame.size.width,2500);

    CGFloat height = [self.text sizeWithFont:self.font
                           constrainedToSize:maximumLabelSize
                               lineBreakMode:self.lineBreakMode].height;
    if (self.numberOfLines != 0) {
        height = MIN(height, self.font.lineHeight * self.numberOfLines);
    }
    rect.size.height = MIN(rect.size.height, height);
    }
    [super drawTextInRect:rect];

}
- (void) layoutSubviews
{
    [super layoutSubviews];
       if(isHeightToChange){
     CGRect ltempFrame = self.frame;
    CGSize maximumLabelSize = CGSizeMake(self.frame.size.width,2500);

    CGFloat height = [self.text sizeWithFont:self.font
                           constrainedToSize:maximumLabelSize
                               lineBreakMode:self.lineBreakMode].height;
    if (self.numberOfLines != 0) {
        height = MIN(height, self.font.lineHeight * self.numberOfLines);
    }
    ltempFrame.size.height = MIN(ltempFrame.size.height, height);

    ltempFrame.size.height=ltempFrame.size.height;
    self.frame=ltempFrame;
       }
}
@end

对于那些使用自定义表单元格试图解决此问题的人，请将其添加到自定义表单元格类中：

斯威夫特2.2：

override func layoutSubviews() {
    labelName.sizeToFit()
}

这解决了我的问题。