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 +。

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
    }

}

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)
    }
}

当标题发生变化时，只需更新插图即可。你需要在另一侧用等量的、相反的插页来补偿插页。

[thebutton setTitle:title forState:UIControlStateNormal];
thebutton.titleEdgeInsets = UIEdgeInsetsMake(0, -thebutton.imageView.frame.size.width, 0, thebutton.imageView.frame.size.width);
thebutton.imageEdgeInsets = UIEdgeInsetsMake(0, thebutton.titleLabel.frame.size.width, 0, -thebutton.titleLabel.frame.size.width);

把@Piotr的答案变成了一个Swift扩展。请确保在调用此函数之前设置好图像和标题，以便按钮大小适当。

 extension UIButton {
    
    /// Makes the ``imageView`` appear just to the right of the ``titleLabel``.
    func alignImageRight() {
        if let titleLabel = self.titleLabel, imageView = self.imageView {
            // Force the label and image to resize.
            titleLabel.sizeToFit()
            imageView.sizeToFit()
            imageView.contentMode = .ScaleAspectFit
            
            // Set the insets so that the title appears to the left and the image appears to the right. 
            // Make the image appear slightly off the top/bottom edges of the button.
            self.titleEdgeInsets = UIEdgeInsets(top: 0, left: -1 * imageView.frame.size.width,
                bottom: 0, right: imageView.frame.size.width)
            self.imageEdgeInsets = UIEdgeInsets(top: 4, left: titleLabel.frame.size.width,
                bottom: 4, right: -1 * titleLabel.frame.size.width)
          }
        }
     }

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