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

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

Swift 4 & 5

改变UIButton图像的方向(RTL和LTR)

extension UIButton {
    func changeDirection(){
       isArabic ? (self.contentHorizontalAlignment = .right) : (self.contentHorizontalAlignment = .left)
        // left-right margin 
        self.imageEdgeInsets = UIEdgeInsets(top: 0, left: 5, bottom: 0, right: 5)
        self.titleEdgeInsets = UIEdgeInsets(top: 0, left: 5, bottom: 0, right: 5)
    }
}

我把功劳都给了inspirre48。基于他的建议和其他问题，我想出了这个。子类UIButton并重写这些方法。

@implementation UIButtonSubclass

- (CGRect)imageRectForContentRect:(CGRect)contentRect
{
    CGRect frame = [super imageRectForContentRect:contentRect];
    frame.origin.x = CGRectGetMaxX(contentRect) - CGRectGetWidth(frame) -  self.imageEdgeInsets.right + self.imageEdgeInsets.left;
    return frame;
}

- (CGRect)titleRectForContentRect:(CGRect)contentRect
{
    CGRect frame = [super titleRectForContentRect:contentRect];
    frame.origin.x = CGRectGetMinX(frame) - CGRectGetWidth([self imageRectForContentRect:contentRect]);
    return frame;
}

@end

这里是解决方案的UIButton与中心对齐的内容。 这段代码使图像右对齐，并允许使用imageEdgeInsets和titleEdgeInsets进行宝贵的定位。

用你的自定义类子类化UIButton并添加:

- (CGRect)imageRectForContentRect:(CGRect)contentRect {
    CGRect frame = [super imageRectForContentRect:contentRect];
    CGFloat imageWidth = frame.size.width;
    CGRect titleRect = CGRectZero;
    titleRect.size = [[self titleForState:self.state] sizeWithAttributes:@{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;
}

- (CGRect)titleRectForContentRect:(CGRect)contentRect {
    CGFloat imageWidth = [self imageForState:self.state].size.width;
    CGRect frame = [super titleRectForContentRect:contentRect];
    frame.origin.x = (self.frame.size.width - (frame.size.width + imageWidth)) / 2.0 + self.titleEdgeInsets.left - self.titleEdgeInsets.right;
    return frame;
}

尽管一些建议的答案非常有创意和聪明，但最简单的解决方案如下:

button.semanticContentAttribute = UIApplication.shared
    .userInterfaceLayoutDirection == .rightToLeft ? .forceLeftToRight : .forceRightToLeft

就这么简单。作为奖励，在从右到左的区域中，图像将位于左侧。

编辑:这个问题已经被问过几次了，这是iOS 9 +。