The combination of the dark fiber in existing Optical Fiber Composite Overhead Ground Wire (OPGW) with Distributed Optical Fiber Sensing (DOFS) technology can be used to enable online monitoring and provide early warnings of anomalies in high-voltage transmission lines. Accurate mapping of the optical cable length to the geographic coordinates of actual towers is a key factor in achieving this goal. This paper discusses the principle of using a DOFS system for transmission line tower positioning and presents four available positioning features. To overcome the limitations of single physical parameter positioning, this paper presents a self-developed hybrid DOFS that simultaneously captures Rayleigh backscattering and Brillouin scattering signals. Several physical parameters, including temperature, strain, and vibration, are acquired synchronously. Through hybrid multi-parameter analysis, the rapid and accurate positioning of OPGW line towers is achieved. Experimental results have shown that the proposed method, based on the hybrid DOFS system, can locate up to 82 towers, while the traditional method could only identify 12. The hybrid system was able to complete 80% of the tension towers in 40 h. This paper presents a novel multi-parameter localization method that has the potential to significantly improve the efficiency and reliability of grid operation and maintenance.