utiliser OPENROWSET
exemple
USE AdventureWorks2008R2;
GO
CREATE TABLE myTable(FileName nvarchar(60),
FileType nvarchar(60), Document varbinary(max));
GO
INSERT INTO myTable(FileName, FileType, Document)
SELECT 'Text1.txt' AS FileName,
'.txt' AS FileType,
* FROM OPENROWSET(BULK N'C:\Text1.txt', SINGLE_BLOB) AS Document;
GO