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

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)
    }
}

在Piotr Tomasik的优雅解决方案的基础上:如果你想在按钮标签和图像之间有一点间距，那么包括在你的边缘嵌入如下(复制我的代码在这里完美地为我工作):

    CGFloat spacing          = 3;
    CGFloat insetAmount      = 0.5 * spacing;

    // First set overall size of the button:
    button.contentEdgeInsets = UIEdgeInsetsMake(0, insetAmount, 0, insetAmount);
    [button sizeToFit];

    // Then adjust title and image insets so image is flipped to the right and there is spacing between title and image:
    button.titleEdgeInsets   = UIEdgeInsetsMake(0, -button.imageView.frame.size.width - insetAmount, 0,  button.imageView.frame.size.width  + insetAmount);
    button.imageEdgeInsets   = UIEdgeInsetsMake(0, button.titleLabel.frame.size.width + insetAmount, 0, -button.titleLabel.frame.size.width - insetAmount);

感谢Piotr的解决方案!

Erik

子类化UIButton是完全没有必要的。相反，你可以简单地为图像设置一个高的左插入值，为标题设置一个小的右插入值。就像这样:

button.imageEdgeInsets = UIEdgeInsetsMake(0., button.frame.size.width - (image.size.width + 15.), 0., 0.);
button.titleEdgeInsets = UIEdgeInsetsMake(0., 0., 0., image.size.width);

感谢Vitaliy Gozhenko

我只是想添加，你可以添加IB_DESIGNABLE之前，你的按钮@interface和设置你的按钮类在storyborad。然后你就可以在界面构建阶段实时观看它的布局，而无需启动应用程序

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);