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
        }
    }
}

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)
          }
        }
     }

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
}

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
}

更新:Swift 3

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
    }
}

Swift 2的原始答案:

一个解决方案，处理所有水平对齐，与一个Swift实现示例。如果需要，只需翻译成Objective-C即可。

class ButtonIconRight: UIButton {
    override func imageRectForContentRect(contentRect:CGRect) -> CGRect {
        var imageFrame = super.imageRectForContentRect(contentRect)
        imageFrame.origin.x = CGRectGetMaxX(super.titleRectForContentRect(contentRect)) - CGRectGetWidth(imageFrame)
        return imageFrame
    }

    override func titleRectForContentRect(contentRect:CGRect) -> CGRect {
        var titleFrame = super.titleRectForContentRect(contentRect)
        if (self.currentImage != nil) {
            titleFrame.origin.x = CGRectGetMinX(super.imageRectForContentRect(contentRect))
        }
        return titleFrame
    }
}

同样值得注意的是，它处理相当好图像和标题插入。

灵感来自jasongregori的回答;)