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)
          }
        }
     }

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

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

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);

扩展UiButton并放入这些线条

    if let imageWidth = self.imageView?.frame.width {
        self.titleEdgeInsets = UIEdgeInsetsMake(0, -imageWidth, 0, imageWidth);
    }

    if let titleWidth = self.titleLabel?.frame.width {
        let spacing = titleWidth + 20
        self.imageEdgeInsets = UIEdgeInsetsMake(0, spacing, 0, -spacing);
    }

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: