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

如果这需要在UIBarButtonItem中完成，则应该使用额外的视图包装 这是可行的

let view = UIView()
let button = UIButton()
button.setTitle("Skip", for: .normal)
button.setImage(#imageLiteral(resourceName:"forward_button"), for: .normal)
button.semanticContentAttribute = .forceRightToLeft
button.sizeToFit()
view.addSubview(button)
view.frame = button.bounds
navigationItem.rightBarButtonItem = UIBarButtonItem(customView: view)

这行不通

let button = UIButton()
button.setTitle("Skip", for: .normal)
button.setImage(#imageLiteral(resourceName:"forward_button"), for: .normal)
button.semanticContentAttribute = .forceRightToLeft
button.sizeToFit()
navigationItem.rightBarButtonItem = UIBarButtonItem(customView: button)

swift 3.0迁移 jasongregori给出的解

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
        }

在尝试了互联网上的多种解决方案后，我没有达到确切的要求。所以我最终编写了自定义实用程序代码。在将来帮助别人。 在swift 4.2上测试

// This function should be called in/after viewDidAppear to let view render
    func addArrowImageToButton(button: UIButton, arrowImage:UIImage = #imageLiteral(resourceName: "my_image_name") ) {
        let btnSize:CGFloat = 32
        let imageView = UIImageView(image: arrowImage)
        let btnFrame = button.frame
        imageView.frame = CGRect(x: btnFrame.width-btnSize-8, y: btnFrame.height/2 - btnSize/2, width: btnSize, height: btnSize)
        button.addSubview(imageView)
        //Imageview on Top of View
        button.bringSubviewToFront(imageView)
    }

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;
}

扩展的方法

使用扩展设置图像右侧自定义偏移

   extension UIButton {
    func addRightImage(image: UIImage, offset: CGFloat) {
        self.setImage(image, for: .normal)
        self.imageView?.translatesAutoresizingMaskIntoConstraints = false
        self.imageView?.centerYAnchor.constraint(equalTo: self.centerYAnchor, constant: 0.0).isActive = true
        self.imageView?.trailingAnchor.constraint(equalTo: self.trailingAnchor, constant: -offset).isActive = true
    }
}