我最终创建了一个自定义按钮，允许从检查器设置图像。下面是我的代码:

import UIKit

@IBDesignable
class CustomButton: UIButton {

    @IBInspectable var leftImage: UIImage? = nil
    @IBInspectable var gapPadding: CGFloat = 0

    override init(frame: CGRect) {
        super.init(frame: frame)
        setup()
    }
    required public init?(coder aDecoder: NSCoder) {
        super.init(coder: aDecoder)
        setup()
    }

    override func layoutSubviews() {
        super.layoutSubviews()
        setup()
    }

    func setup() {

        if(leftImage != nil) {
            let imageView = UIImageView(image: leftImage)
            imageView.translatesAutoresizingMaskIntoConstraints = false

            addSubview(imageView)

            let length = CGFloat(16)
            titleEdgeInsets.left += length

            NSLayoutConstraint.activate([
                imageView.leadingAnchor.constraint(equalTo: self.leadingAnchor, constant: gapPadding),
                imageView.centerYAnchor.constraint(equalTo: self.titleLabel!.centerYAnchor, constant: 0),
                imageView.widthAnchor.constraint(equalToConstant: length),
                imageView.heightAnchor.constraint(equalToConstant: length)
            ])
        }
    }
}

你可以从检查器中调整空白填充的值来调整文本和图像之间的间距。

PS:使用了一些来自@Mark Hennings答案的代码部分

斯威夫特3:

open override func imageRect(forContentRect contentRect: CGRect) -> CGRect {
    var frame = super.imageRect(forContentRect: contentRect)
    let  imageWidth = frame.size.width
    var titleRect = CGRect.zero
    titleRect.size = self.title(for: self.state)!.size(attributes: [NSFontAttributeName: self.titleLabel!.font])
    titleRect.origin.x = (self.frame.size.width - (titleRect.size.width + imageWidth)) / 2.0 + self.titleEdgeInsets.left - self.titleEdgeInsets.right;
    frame.origin.x = titleRect.origin.x + titleRect.size.width - self.imageEdgeInsets.right + self.imageEdgeInsets.left;
    return frame
}

open override func titleRect(forContentRect contentRect: CGRect) -> CGRect {
    var frame = super.titleRect(forContentRect: contentRect)
    if let imageWidth = self.image(for: self.state)?.size.width {
        frame.origin.x = (self.frame.size.width - (frame.size.width + imageWidth)) / 2.0 + self.titleEdgeInsets.left - self.titleEdgeInsets.right;
    }
    return frame
}

iOS 15带来了一个更新，现在你可以用一种更简单而不混乱的方式来处理按钮中的图像放置。没有insets。

在XIB /故事板: 简单地设置按钮的“位置”属性为领先/训练/顶部/底部后，添加一个图像属性按钮。由于它是领导/培训，所以它支持RTL有一个额外的优势

**在代码中(编程方式):** 以编程方式使用“按钮配置”属性

这不是一个向后兼容的功能，只能在iOS15+中工作，正如WWDC '21 - https://developer.apple.com/videos/play/wwdc2021/10064/?time=236所演示的那样

开发人员文档:https://developer.apple.com/documentation/uikit/uibutton/configuration?changes=_4

这是我在swift 5.2上的工作

let sizeOfTitle: CGFloat = 80
let sizeOfImage: CGFloat = 20
yourButton.titleEdgeInsets = UIEdgeInsets(top: 0.0, left: -sizeOfImage , bottom: 0.0, right: sizeOfImage)
yourButton.imageEdgeInsets = UIEdgeInsets(top: 0.0, left: sizeOfTitle, bottom: 0.0, right: -sizeOfTitle)

这里提到的解决方案停止工作，一旦我启用自动布局。我不得不提出我自己的想法:

子类UIButton和覆盖layoutSubviews方法:

//
//  MIThemeButtonImageAtRight.m
//  Created by Lukasz Margielewski on 7/9/13.
//

#import "MIThemeButtonImageAtRight.h"

static CGRect CGRectByApplyingUIEdgeInsets(CGRect frame, UIEdgeInsets insets);

@implementation MIThemeButtonImageAtRight

- (void)layoutSubviews
{
    [super layoutSubviews];

    CGRect contentFrame = CGRectByApplyingUIEdgeInsets(self.bounds, self.contentEdgeInsets);

    CGRect frameIcon = self.imageView.frame;
    CGRect frameText = self.titleLabel.frame;

    frameText.origin.x = CGRectGetMinX(contentFrame) + self.titleEdgeInsets.left;
    frameIcon.origin.x = CGRectGetMaxX(contentFrame) - CGRectGetWidth(frameIcon);

    self.imageView.frame = frameIcon;
    self.titleLabel.frame = frameText;
}

@end

static CGRect CGRectByApplyingUIEdgeInsets(CGRect frame, UIEdgeInsets insets){

    CGRect f = frame;

    f.origin.x += insets.left;
    f.size.width -= (insets.left + insets.right);
    f.origin.y += (insets.top);
    f.size.height -= (insets.top + insets.bottom);

    return f;

}

结果:

扩展的方法

使用扩展设置图像右侧自定义偏移

   extension UIButton {
    func addRightImage(image: UIImage, offset: CGFloat) {
        self.setImage(image, for: .normal)
        self.imageView?.translatesAutoresizingMaskIntoConstraints = false
        self.imageView?.centerYAnchor.constraint(equalTo: self.centerYAnchor, constant: 0.0).isActive = true
        self.imageView?.trailingAnchor.constraint(equalTo: self.trailingAnchor, constant: -offset).isActive = true
    }
}