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

感谢Vitaliy Gozhenko

我只是想添加，你可以添加IB_DESIGNABLE之前，你的按钮@interface和设置你的按钮类在storyborad。然后你就可以在界面构建阶段实时观看它的布局，而无需启动应用程序

在界面构建器中，您可以为UIButton配置选项边缘插入，分别为三个部分:内容，图像，标题

Xcode 8:

子类化和覆盖layoutSubviews可能是你最好的方法。

引用自:iPhone UIButton -图像位置

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:

一个快速的选项，做什么你想要不玩任何插图:

class RightImageButton: UIButton {

    override func layoutSubviews() {
        super.layoutSubviews()

        if let  textSize = titleLabel?.intrinsicContentSize(),
                imageSize = imageView?.intrinsicContentSize() {
            let wholeWidth = textSize.width + K.textImageGap + imageSize.width
            titleLabel?.frame = CGRect(
                x: round(bounds.width/2 - wholeWidth/2),
                y: 0,
                width: ceil(textSize.width),
                height: bounds.height)
            imageView?.frame = CGRect(
                x: round(bounds.width/2 + wholeWidth/2 - imageSize.width),
                y: RoundRetina(bounds.height/2 - imageSize.height/2),
                width: imageSize.width,
                height: imageSize.height)
        }
    }

    struct K {
        static let textImageGap: CGFloat = 5
    }

}