我决定不使用标准的按钮图像视图，因为所提出的移动它的解决方案感觉很俗气。这让我获得了想要的美感，并且通过改变约束来重新定位按钮是很直观的:

extension UIButton {
    func addRightIcon(image: UIImage) {
        let imageView = UIImageView(image: image)
        imageView.translatesAutoresizingMaskIntoConstraints = false

        addSubview(imageView)

        let length = CGFloat(15)
        titleEdgeInsets.right += length

        NSLayoutConstraint.activate([
            imageView.leadingAnchor.constraint(equalTo: self.titleLabel!.trailingAnchor, constant: 10),
            imageView.centerYAnchor.constraint(equalTo: self.titleLabel!.centerYAnchor, constant: 0),
            imageView.widthAnchor.constraint(equalToConstant: length),
            imageView.heightAnchor.constraint(equalToConstant: length)
        ])
    }
}

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
}

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)
          }
        }
     }

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

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;
}

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
        }
    }
}