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)
          }
        }
     }

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

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

Xcode 11.4 Swift 5.2

对于任何试图镜像后退按钮样式的人，像这样的雪佛龙:

import UIKit

class NextBarButton: UIBarButtonItem {

    convenience init(target: Any, selector: Selector) {

        // Create UIButton
        let button = UIButton(frame: .zero)

        // Set Title
        button.setTitle("Next", for: .normal)
        button.setTitleColor(.systemBlue, for: .normal)
        button.titleLabel?.font = UIFont.systemFont(ofSize: 17)

        // Configure Symbol
        let config = UIImage.SymbolConfiguration(pointSize: 19.0, weight: .semibold, scale: .large)
        let image = UIImage(systemName: "chevron.right", withConfiguration: config)
        button.setImage(image, for: .normal)

        // Add Target
        button.addTarget(target, action: selector, for: .touchUpInside)

        // Put the Image on the right hand side of the button
        // Credit to liau-jian-jie for this part
        button.transform = CGAffineTransform(scaleX: -1.0, y: 1.0)
        button.titleLabel?.transform = CGAffineTransform(scaleX: -1.0, y: 1.0)
        button.imageView?.transform = CGAffineTransform(scaleX: -1.0, y: 1.0)

        // Customise spacing to match system Back button
        button.imageEdgeInsets = UIEdgeInsets(top: 0.0, left: -18.0, bottom: 0.0, right: 0.0)
        button.titleEdgeInsets = UIEdgeInsets(top: 0.0, left: -12.0, bottom: 0.0, right: 0.0)

        self.init(customView: button)
    }
}

实现:

override func viewDidLoad() {
    super.viewDidLoad()
    let nextButton = NextBarButton(target: self, selector: #selector(nextTapped))
    navigationItem.rightBarButtonItem = nextButton
}

@objc func nextTapped() {
    // your code
}

更新:Swift 3

class ButtonIconRight: UIButton {
    override func imageRect(forContentRect contentRect:CGRect) -> CGRect {
        var imageFrame = super.imageRect(forContentRect: contentRect)
        imageFrame.origin.x = super.titleRect(forContentRect: contentRect).maxX - imageFrame.width
        return imageFrame
    }

    override func titleRect(forContentRect contentRect:CGRect) -> CGRect {
        var titleFrame = super.titleRect(forContentRect: contentRect)
        if (self.currentImage != nil) {
            titleFrame.origin.x = super.imageRect(forContentRect: contentRect).minX
        }
        return titleFrame
    }
}

Swift 2的原始答案:

一个解决方案，处理所有水平对齐，与一个Swift实现示例。如果需要，只需翻译成Objective-C即可。

class ButtonIconRight: UIButton {
    override func imageRectForContentRect(contentRect:CGRect) -> CGRect {
        var imageFrame = super.imageRectForContentRect(contentRect)
        imageFrame.origin.x = CGRectGetMaxX(super.titleRectForContentRect(contentRect)) - CGRectGetWidth(imageFrame)
        return imageFrame
    }

    override func titleRectForContentRect(contentRect:CGRect) -> CGRect {
        var titleFrame = super.titleRectForContentRect(contentRect)
        if (self.currentImage != nil) {
            titleFrame.origin.x = CGRectGetMinX(super.imageRectForContentRect(contentRect))
        }
        return titleFrame
    }
}

同样值得注意的是，它处理相当好图像和标题插入。

灵感来自jasongregori的回答;)