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 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
        }

更新XCODE 9(通过接口生成器)

在Interface Builder中有一个更简单的方法。

选择UIButton并在View Utilities > Semantic中选择这个选项:

就是这样!很好很简单!

可选-第二步:

如果你想调整图像和标题之间的间距，你可以在这里更改图像插入:

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 +。

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)
          }
        }
     }

斯威夫特3:

open override func imageRect(forContentRect contentRect: CGRect) -> CGRect {
    var frame = super.imageRect(forContentRect: contentRect)
    let  imageWidth = frame.size.width
    var titleRect = CGRect.zero
    titleRect.size = self.title(for: self.state)!.size(attributes: [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
}

open override func titleRect(forContentRect contentRect: CGRect) -> CGRect {
    var frame = super.titleRect(forContentRect: contentRect)
    if let imageWidth = self.image(for: self.state)?.size.width {
        frame.origin.x = (self.frame.size.width - (frame.size.width + imageWidth)) / 2.0 + self.titleEdgeInsets.left - self.titleEdgeInsets.right;
    }
    return frame
}