The correct option is
B as tall as
The given sentence is made up of two clauses "Tom is..." and "Helen".
('Helen' is an elliptical clause, which means a clause that has been shortened from 'Helen is' to 'Helen'.)
The blank is to be filled with a conjunction that can connect the clauses by expressing a comparison between them.
Option B: 'As tall as' is a conjunction that expresses comparison. It compares two things or people that are equal in degree or quality (positive degree of comparison). It completes the sentence and hence, B is correct.
Option A: 'As tall than' is grammatically incorrect, because 'as...as' is a set pair of conjunctions that expresses the positive degree, whereas 'than' expresses the comparative degree. Hence option A is wrong.
Options C and D: 'So tall as' and 'so tall than' are both grammatically incorrect phrases. 'So' is a conjunction that is generally paired with 'that' and expresses result or consequence. It does not express comparison ('as' and 'than'). Hence these options are incorrect.