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

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
    }
}

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
}

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 +。

这里提到的解决方案停止工作，一旦我启用自动布局。我不得不提出我自己的想法:

子类UIButton和覆盖layoutSubviews方法:

//
//  MIThemeButtonImageAtRight.m
//  Created by Lukasz Margielewski on 7/9/13.
//

#import "MIThemeButtonImageAtRight.h"

static CGRect CGRectByApplyingUIEdgeInsets(CGRect frame, UIEdgeInsets insets);

@implementation MIThemeButtonImageAtRight

- (void)layoutSubviews
{
    [super layoutSubviews];

    CGRect contentFrame = CGRectByApplyingUIEdgeInsets(self.bounds, self.contentEdgeInsets);

    CGRect frameIcon = self.imageView.frame;
    CGRect frameText = self.titleLabel.frame;

    frameText.origin.x = CGRectGetMinX(contentFrame) + self.titleEdgeInsets.left;
    frameIcon.origin.x = CGRectGetMaxX(contentFrame) - CGRectGetWidth(frameIcon);

    self.imageView.frame = frameIcon;
    self.titleLabel.frame = frameText;
}

@end

static CGRect CGRectByApplyingUIEdgeInsets(CGRect frame, UIEdgeInsets insets){

    CGRect f = frame;

    f.origin.x += insets.left;
    f.size.width -= (insets.left + insets.right);
    f.origin.y += (insets.top);
    f.size.height -= (insets.top + insets.bottom);

    return f;

}

结果:

由于转换解决方案在iOS 11中不起作用，我决定编写一种新的方法。

调整按钮semanticContentAttribute可以让我们很好地将图像放到右边，而不必在文本更改时重新布局。因此它是理想溶液。然而，我仍然需要RTL的支持。事实上，一个应用程序不能改变它的布局方向在同一会话解决这个问题很容易。

话虽如此，它还是相当直截了当的。

extension UIButton {
    func alignImageRight() {
        if UIApplication.shared.userInterfaceLayoutDirection == .leftToRight {
            semanticContentAttribute = .forceRightToLeft
        }
        else {
            semanticContentAttribute = .forceLeftToRight
        }
    }
}