我最终创建了一个自定义按钮，允许从检查器设置图像。下面是我的代码:

import UIKit

@IBDesignable
class CustomButton: UIButton {

    @IBInspectable var leftImage: UIImage? = nil
    @IBInspectable var gapPadding: CGFloat = 0

    override init(frame: CGRect) {
        super.init(frame: frame)
        setup()
    }
    required public init?(coder aDecoder: NSCoder) {
        super.init(coder: aDecoder)
        setup()
    }

    override func layoutSubviews() {
        super.layoutSubviews()
        setup()
    }

    func setup() {

        if(leftImage != nil) {
            let imageView = UIImageView(image: leftImage)
            imageView.translatesAutoresizingMaskIntoConstraints = false

            addSubview(imageView)

            let length = CGFloat(16)
            titleEdgeInsets.left += length

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

你可以从检查器中调整空白填充的值来调整文本和图像之间的间距。

PS:使用了一些来自@Mark Hennings答案的代码部分

子类化和覆盖layoutSubviews可能是你最好的方法。

引用自:iPhone UIButton -图像位置

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)
          }
        }
     }

最简单的解决方案:

iOS 10及以上版本，Swift:

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)

在iOS 10之前，Swift/Obj-C:

button.transform = CGAffineTransformMakeScale(-1.0, 1.0);
button.titleLabel.transform = CGAffineTransformMakeScale(-1.0, 1.0);
button.imageView.transform = CGAffineTransformMakeScale(-1.0, 1.0);

iOS 9及以上版本，Swift:(推荐)

button.semanticContentAttribute = .forceRightToLeft

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
}

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;
}